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A Case of Acute Osteomyelitis of the Femur Caused by Nalidixic-Acid-Resistant Salmonella enteritidis
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낼리딕산 내성 Salmonella enteritidis에 의한급성 대퇴골 골수염 1예

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A Case of Acute Osteomyelitis of the Femur Caused by Nalidixic-Acid-Resistant Salmonella enteritidis
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Infection with nontyphoidal Salmonella most often results in self-limited acute gastroenteritis. However, occasionally it causesbacteremia and localized infection requiring antibiotic treatment. A third-generation cephalosporin or fluoroquinolone is often thefirst choice of antibiotic. However, there has been an increase in nalidixic-acid-resistant nontyphoidal Salmonella with decreasedfluoroquinolone susceptibility. Although there have been many cases reported of nontyphoidal Salmonella, no cases of nalidixic-acid-resistant nontyphoidal Salmonella have been reported in Korea. Here, we report on the case of a 61-year-old man with adiagnosis of acute osteomyelitis and periosteal abscess of the femur caused by nalidixic-acid-resistant Salmonella enteritidis. Hewas treated successfully with prolonged administration of a high-dose of ciprofloxacin and drainage of the abscess.

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