Abstract: Large wounds with heavy exudate are known to cause moisture related skin damages that can be distressing to the patient especially when he has pain that disturbs his sleep and other activities. Honey, known to be used to treat wound in ancient era, has antimicrobial properties, is anti- inflammatory and is known to promote wound healing. This case report demonstrates the efficacy of Indian medical grade honey in high exuding wound with peri wound skin damage.

Abstract: Salmonella typhi is still considered a health burden in low income countries despite the implementation of vaccination strategies since 1896. The incidence of typhoid fever in some parts of Asia accounts for 10 to 100 cases per 100,000 person-years (1). Typhoid fever typically presents with fever, malaise, constipation and abdominal pain. (2 and 3) Extra intestinal manifestations through hematogenous dissemination (including spondylodiscitis, osteomyelitis, meningitis, etc...) are very rare with a median prevalence of 5-10 % of all salmonella infections (4). Vertebral column invasion secondary to salmonella bacteremia is common in immunocompromised patients, patients with sickle cell disease and very rarely reported in the immunocompetent pediatric patient (5). In this article, we report a case of a 2 years 6 months old immunocompetent Lebanese child, who presented with fever, diffuse abdominal pain and a remarkable abdominal distension of 2 weeks duration, who was found to have salmonella spondylodiscitis.