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Multiple Salmonella enteritidis leg abscesses in a patient with systemic lupus erythematosus.
  1. A. Shamiss,
  2. M. Thaler,
  3. N. Nussinovitch,
  4. R. Zissin,
  5. T. Rosenthal
  1. Department of Medicine D, Chaim Sheba Medical Center, Tel Hashomer, Israel.


    We describe a 19 year old woman with systemic lupus erythematosus on corticosteroid therapy, who developed bilateral, multiple, gas-forming Salmonella enteritidis leg abscesses and osteomyelitis mimicking deep vein thrombosis. The infection was treated successfully by a combination of surgical drainage and intravenous ceftriaxone, followed by prolonged oral pefloxacin. This rare case of gas-producing S. enteritidis emphasizes the difficulty in diagnosing such complications in active systemic lupus erythematosus.

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