The most common cause of osteomyelitis isStaphylococcus aureus. However, it is well-known that in children with sickle cell disease (SCD) who develop osteomyelitis, infection is often attributable toSalmonella. A controversy that arises is whether S aureus is the most common cause of infection in these children overall, or does Salmonella actually predominate. The authors of the chapter on osteomyelitis and septic arthritis in the current edition of a major pediatric text state that “Salmonella osteomyelitis tends to occur more often in children with hemoglobinopathies, although even in this group, S aureus remains the predominant pathogen.” The authors of the chapter on osteomyelitis and septic arthritis in the current edition of a major pediatric infectious diseases text state that “seventy percent of all lesions or blood cultures in children with hemoglobinopathies and presumed osteomyelitis yieldSalmonella microorganisms, 10% contain S aureus, and...

You do not currently have access to this content.