A Case Report of Salmonella Typhi Osteomyelitis With Pathological Fracture in an Immunocompetent Adult.

Salmonella osteomyelitis is usually seen in patients with hemoglobinopathies and immunodeficient individuals. However, it is a rare clinical entity in an immunocompetent person with very few cases reported in clinical literature usually caused by non-typhoid Salmonella. Here, we report a case of S. typhi osteomyelitis of the right tibia in a 40-year-old immunocompetent lady. She developed a pathological fracture of the right tibia during the course of her treatment. It was then managed successfully by debridement and external fixation using a rail fixator. Salmonella osteomyelitis does not present with unique clinical or radiological signs. High index of suspicion with appropriate testing will help in determining the causative agent correctly and thus aid in its successful management.