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Osteoarticular infections caused by  Salmonella  are rare. The rates of osteomyelitis and septic arthritis due to  Salmonella  are estimated to be less than 1% and 0.1%-0.2%, respectively (Kato et al., 2012).  Salmonella enterica  serotype Choleraesuis is a  nontyphoidal Salmonella , highly pathogenic in humans, usually causing septicemic disease with little or no intestinal involvement. Serotype Choleraesuis accounts for a small percentage of published studies of  Salmonella  infections in the United States. It is not commonly reported in joint fluid and bones in contrast to serotype Enteritidis and Typhi, where a considerable number of cases have been published. Chen et al. in Taiwan found that 21% of bacteremic patients with this infection subsequently develop focal infections such as septic arthritis, pneumonia, peritonitis, and cutaneous abscess (Chen et al., 1999, Chiu et al., 2004). In contrast, our patient presented with localized osteoarticular infection with  Salmonella enterica serotype Cholerasuis , but without evidence of bacteremia.

Salmonella entericaSerotype Choleraesuis Infection of the Knee and Femur in a Nonbacteremic Diabetic Patient