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  #1  
Old 07-26-2013
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Bacteria Sickle Cell Disease; Salmonella or Staph Aureus!

what is the most likely organism to cause septic arthritis in a patient with history of sickle cell disease?
salmonella
staph aureus.
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Old 07-27-2013
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Statistically, staph aureus is the most common infective organism.

However, patients with sickle cell disease are more prone to salmonella infection than the general population.
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Old 07-27-2013
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Default Salmonela or Staph aureus

In SCD Salmonella .
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Old 07-27-2013
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yea thats true..
i was doing kaplan q bank n one of the question gave a pt with h/o scd presenting with septic arthritis..i went with salmonella but qbank gave staph as the most likely..
so when do we answer salmonella in case of sickle cell disease?
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Old 07-27-2013
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http://www.ncbi.nlm.nih.gov/pubmed/1918111


That's a link to a study in regards to this question. There are several different studies online saying the same thing.
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Old 07-27-2013
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Be aware of TWO diseases:
1) Septic arthritis: Staph aureus is the most common, regardless to sicke cell status. Don't forget N. Gonorrhea becomes more common in sexual active age.

2) Osteomyelitis: Here is the trick. Staph areus is the commonest, except in sickle cell patients, where Salmonella is the commonest in that case.
(When you get a sickle cell osteomyelitis, don't overanalyze it, it's Salmonella.)
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Old 05-14-2014
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Quote:
Originally Posted by good_boy_1234 View Post
Be aware of TWO diseases:
1) Septic arthritis: Staph aureus is the most common, regardless to sicke cell status. Don't forget N. Gonorrhea becomes more common in sexual active age.

2) Osteomyelitis: Here is the trick. Staph areus is the commonest, except in sickle cell patients, where Salmonella is the commonest in that case.
(When you get a sickle cell osteomyelitis, don't overanalyze it, it's Salmonella.)
im sorry this seems to be a very debated topic in various forums.

i was wondering if you had any source for both statements?
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Old 05-16-2014
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Default staph

first aid says its staph with salmonella being the second most common in patients with sickle cell disease
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