The Turkish Journal of Pediatrics 2005 , Vol 47 , Num 4
Atypical presentation of spondylitis in a case with sickle cell disease
1Units of Infectious Diseases,Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
2Department of Orthopedics and Traumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey
3Units of Pathology ,Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
4Units of Hematology,Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
Devrim I, Kara A, Kanra G, Yazıcı M, Güçer S, Gümrük F, Cengiz AB, Seçmeer G. Atypical presentation of spondylitis in a case with sickle cell disease. Turk J Pediatr 2005; 47: 369-372.

Salmonella osteomyelitis is rarely seen and vertebral involvement by this organism is very rare, especially in childhood. Salmonella should be considered in the list of etiologic agents of osteomyelitis in sickle cell disease. Herein we report a five-year-old boy with sickle cell disease and Salmonella paratyphi B spondylitis who was diagnosed with atypical clinical findings of infection. We would like to emphasize the importance of differentiation between osteomyelitis and infarction even if there is no obvious sign of infection in the sickle cell patient even at atypical localization. Keywords : osteomyelitis, spine, vertebra, sickle cell disease

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