All issues > Volume 34(3); 1991

Original Article

J Korean Pediatr Soc. 1991;34(3):408-412. Published online March 31, 1991.

A case of citrobacter freundii osteomyelitis.

Hyung Goo Cho¹, Dong Sig Kim¹, Hwang Min Kim¹, Jae Seung Yang¹, Baek Keun Lim¹, Jong Soo Kim¹

¹Department of Pediatrics, Wonju College of Medicine, Yonsei University, Wonju, Korea

Received: June 22, 1990;  Accepted: August 30, 1990.

Abstract

Citrobacter although once regarded as nonpathogenic, has been responsible for many well- documented pathologic conditions, especially in compromised hosts. These include urinary tract, pulmonary and bone infections, gastroenteritis, gangrenous ulcer with septicemia, meningitis, and brain abscess. Citrobacter organisms have a mosaic of 0, K and H antigens that are found in the Enterobacter- iaceae. Cross reactions with antisera of other members of the Enterobacteriaceae suggest that there are reactions between Citrobacter on the one hand, and Salmonella, Arizona and Escherichia on the other. We experienced a case of sternal osteomyelitis by Citrobacter freundii with positive widal reaction which was misdiagnosed as Salmonella osteomyelitis. So, we report a case and review the related literacture.

Keywords :Citrobacter freundii osteomyelitis