SALMONELLA OSTEOMYELITIS OF THE LUMBAR SPINE: AN UNUSUAL PRESENTATION IN AN IMMUNOCOMPETENT MALE


Aroop Mohanty, Naveen Pandita, Pankaj Kandwal, Balram Ji Omar, Pratima Gupta, Priyanka Gupta

Abstract


 

 Prevalence of Salmonella vertebral osteomyelitis has increased in recent years due to greater number of spinal surgical procedures, ageing population, and intravenous drug abuse. It is a rare complication of Salmonella infection. We report a case of a 17-year-old male who presented with low back pain for past 1 month. Physical examination revealed spinal tenderness over L2-L5 spine with sensory and motor deficit. Magnetic resonance imaging of dorsolumbar spine showed spondylodiscitis at L2-L5 and epidural collection at L4-L5 level. The patient did not respond to conservative treatment and trial of antitubercular drugs. He underwent open discal biopsy and decompression laminotomy. Intraoperatively, he was found to have epidural abscess and discitis at L3-L4 level. Tissue and wound culture grew Salmonella typhi, and with antibiotic susceptibility guidance, he was treated with intravenous cefuroxime for 4 weeks. On his latest follow-up, there was complete recovery and fusion at diseased vertebrae level.


Keywords


Spondylodiscitis, Salmonella Typhi, Back pain

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References


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About this article

Title

SALMONELLA OSTEOMYELITIS OF THE LUMBAR SPINE: AN UNUSUAL PRESENTATION IN AN IMMUNOCOMPETENT MALE

Topics

Clinical Microbiology

Keywords

Spondylodiscitis, Salmonella Typhi, Back pain

DOI

10.22159/ajpcr.2018.v11i1.22530

Date

01-01-2018

Additional Links

Manuscript Submission

Journal

Asian Journal of Pharmaceutical and Clinical Research
Vol 11 Issue 1 January 2018 Page: 1-2

Print ISSN

0974-2441

Online ISSN

2455-3891

Statistics

503 Views | 497 Downloads

Authors & Affiliations

Aroop Mohanty
Department of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
India

Naveen Pandita
Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
India

Pankaj Kandwal
Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
India

Balram Ji Omar
Department of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
India

Pratima Gupta
Department of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
India

Priyanka Gupta
Department of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
India


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