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

doi:10.22159/ajpcr.2018.v11i1.22530

Authors

Aroop Mohanty Department of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Naveen Pandita Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Pankaj Kandwal Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Balram Ji Omar Department of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Pratima Gupta Department of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Priyanka Gupta Department of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

DOI:

https://doi.org/10.22159/ajpcr.2018.v11i1.22530

Keywords:

Spondylodiscitis, Salmonella Typhi, Back pain

Abstract

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Â 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.

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Author Biographies

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

Senior Resident,Department of Clinical Microbiology

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

Senior Resident,Department of Orthopedics

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

Additional Professor,Department of Orthopaedics

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

Additional Professor,Department of Microbiology

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

Professor and head,Department of Clinical Microbiology

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

Senior Resident,Department of Microbiology

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