Salmonella Typhi Vertebral Osteomyelitis and Epidural Abscess

  • Khoo H
  • Chua Y
  • Chen J
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Abstract

Salmonella vertebral osteomyelitis is an uncommon complication of Salmonella infection. We report a case of a 57-year-old transgender male who presented with lower back pain for a period of one month following a fall. Physical examination only revealed tenderness over the lower back with no neurological deficits. MRI of the thoracic and lumbar spine revealed a spondylodiscitis at T10-T11 and T12-L1 and right posterior epidural collection at the T9-T10 level. He underwent decompression laminectomy with segmental instrumentation and fusion of T8 to L3 vertebrae. Intraoperatively, he was found to have acute-on-chronic osteomyelitis in T10 and T11, epidural abscess, and discitis in T12-L1. Tissue and wound culture grew Salmonella Typhi and with antibiotics susceptibility guidance he was treated with intravenous ceftriaxone for a period of six weeks. He recovered well with no neurological deficits.

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Khoo, H. W., Chua, Y. Y., & Chen, J. L. T. (2016). Salmonella Typhi Vertebral Osteomyelitis and Epidural Abscess. Case Reports in Orthopedics, 2016, 1–3. https://doi.org/10.1155/2016/6798157

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