Journal of the Korean Pediatric Society 1991;34(3):408-412.
Published online March 31, 1991.
A case of citrobacter freundii osteomyelitis.
Hyung Goo Cho, Dong Sig Kim, Hwang Min Kim, Jae Seung Yang, Baek Keun Lim, Jong Soo Kim
Department of Pediatrics, Wonju College of Medicine, Yonsei University, Wonju, Korea
Citrobacter Freundii 에 의한 골수염 1례
조형구, 김동식, 김황민, 양재승, 임백근, 김종수
연세대학교 원주의과대학 소아과학교실
Received: 22 June 1990   • Accepted: 30 August 1990
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.
Key Words: Citrobacter freundii osteomyelitis

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