Sickle Cell Disease Revealed by Soft Tissue Abscess: One Case Report
N. Rada, R. El Qadiry*, F. Bennaoui, G. Draiss, M. Bouskraoui
Identifiers and Pagination:Year: 2018
First Page: 139
Last Page: 141
Publisher Id: TOIDJ-10-139
Article History:Received Date: 26/6/2018
Revision Received Date: 17/9/2018
Acceptance Date: 24/9/2018
Electronic publication date: 17/10/2018
Collection year: 2018
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Sickle cell disease is a haemoglobinopathy characterized by the occurrence of vaso-occlusive crises and osteoarticular complications.
We report the case of an infant with sickle cell disease revealed by a bilateral abscess of the feet. Our patient is an 18-month-old infant who has had bilateral swelling of the feet for a week with fever of 40 °C, a CRP of 129 mg/l and a leukocytosis of 32,000 elements/mm3 together with normochromic normocytic anemia at 7.9 g/dl.
The diagnosis of abscess was taken and a puncture was made finding a purulent fluid with isolation of Salmonella. In front of the bilateral character, Salmonella isolation and normochromic normocytic anemia, electrophoresis of hemoglobin was requested confirming the diagnosis of sickle cell disease. The progress was positive with hydration and antibiotic therapy.
Soft-tissue Salmonella infections must lead to thinking of sickle cell disease as a diagnosis especially with normochromic normocytic anemia combined.