Abstract:
Chronically infected diabetic wounds have a
polyrn'crobial aetiology. However. Salmonella Paratyphi A is a very
rare cause of wound infection. A 76-year-old female patient with
type II diabetes presented with a wound on the left leg of two
months' duration. The wound was painful, erythematous and a
thick, foul-smelling discharge was present. There was a history of
delayed wound healing. Salmonella Paratyphi A and Pseudomonas
aeruginosa were isolated from the wound tissue. The patient was
treated with cefuroxime and cloxacillin empirically and following the
antibiotic susceptibility'testing (ABST) report, ciprofloxacin was
given for 10 days. The wound was treated with multiple
debridements and topical antiseptic. On follow-up, the patient
remained afebrile with subsiding discharge from the ulcer, This is
the first reported case of Salmonella Paratyphi A from an infected
diabetic ulcer in Sri Lanka and it serves to further define the
spectrum of illnesses caused by this uncommon pathogen.
