Unusual Pathogens from Unusual Sites: A Case of Multifocal Sternoclavicular Septic Arthritis Isolating Salmonella Paratyphi B

Akshay Karyakarte; Rhea Solanke; Lona Dash; Chaya A. Kumar; Otto Appenzeller

Volume 12, Issue 10 - 2025 (October 2025 Issue 10)

Issue Details:

Volume 12 Issue 10

Published:Apr 3, 2026

Dr J S Patel
Editor in Chief
British Journal of Medical and Health Research

Articles in This Issue

Showing 2 of 2 articles

Research PaperID: BJMHR1210001Pages 1-5

Open Access

Unusual Pathogens from Unusual Sites: A Case of Multifocal Sternoclavicular Septic Arthritis Isolating Salmonella Paratyphi B

Akshay Karyakarte, Rhea Solanke, Lona Dash, Chaya A. Kumar

Septic arthritis of the sternoclavicular joint is usually caused by Gram-positive cocci, and accounts for under 1% of orthopedic infections. Gram-negative organisms, especially those by Salmonella sp. are particularly rare. This report follows the case of a 42-year-old lady presenting with MRI-confirmed multifocal infective arthritis extending to the pectoralis major. Joint aspirate yielded Salmonella Group B, and a prior Widal test suggested Salmonella Paratyphi B exposure. Targeted specific antibiotic therapy resolved the patientâ€™s symptoms. This case highlights the importance of comprehensive bacteriological workup in atypical cases, and the efficacy of early and culture-guided treatment in rare infections, to prevent complications.

Septic ArthritisImmunocompromised hostSalmonella infections

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DOI:: 10.5281/zenodo.19508841

Contributors:

Akshay Karyakarte

Rhea Solanke

Lona Dash

Chaya A. Kumar

Research PaperID: BJMHR1210002Pages 1-3

Open Access

I must think to breathe: a personal experience

Otto Appenzeller

A 97-year old man is largely healthy, but his respiration is altered. He breathes normally and effortlessly while sleeping or sitting. But if he stands, walks, or engages in other activities that require him to concentrate on coordination and balance, breathing becomes a conscious effort. He stops breathing and grows faint if he does not remember to breathe. This condition compounds other challenges of aging, but he is determined not to allow it to limit his activities. He speculates that his condition results from age related deterioration in the autonomic nervous system, most likely the breathing centers in the brainstem.

Respirationagingbrainstemautonomic nervous system

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