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salmonella spondylodiscitis

Weike Cheng, Kejian Lian, Deqing Luo, Dasheng Lin, Wanqiang Feng, Hang Xian, Tongtao Li
RATIONALE: Salmonella osteomyelitis is an uncommon complication of salmonella infection, especially the salmonella vertebral osteomyelitis (SVO). PATIENT CONCERNS: We reported a case of a 29-year-old female who presented with serious lower back pain and severe limitation of motion for 50 days with no obvious inducements. She once had a fever up to 39.5°C. Physical examination only revealed limited motion of lower back without neurological complications. The laboratory results revealed no specificity...
May 2018: Medicine (Baltimore)
Neil Tuttle, Alexandra Brelis, Rachel Brereton, Kerrie Evans
A 54-year-old woman presented to a Sports Physician with a 4-year history of haemochromatosis, and she had a medical history that included a congenital spondylolisthesis resulting in a fusion of L4-S1 at age 16 years, episodic mechanical low back pain and an absence of other significant musculoskeletal symptoms. On presentation, she reported 18 months of severe low back pain that started after a scuba diving trip. After the onset of this low back pain, she developed gastrointestinal symptoms from Salmonella The gastrointestinal symptoms improved with a course of antibiotics, but the back pain persisted in spite of analgesics, non-steroidal anti-inflammatories and several attempts at different conservative management...
March 28, 2018: BMJ Case Reports
Barnini Banerjee, Mridula Madiyal, Pai K Madhava, Manali Agarwal, Chiranjay Mukhopadhyay
Salmonella Typhi cause a broad spectrum of human illnesses like gastroenteritis, typhoid fever, and bacteremia. It has also been recognized as a causative organism of osteomyelitis for more than a century but the incidence appears to be uncommon. Microbiological workup plays important role in the diagnosis of Typhoid spondylodiscitis as most of the time it mimics tuberculosis and misguide the clinician, especially in the developing world. Here, we reported an uncommon case of lumbar spondylodiscitis by Salmonella Typhi in an immunocompetent teenager, with the help of clinical, microbiological and radiological evidence...
January 2018: Journal of Infection and Public Health
Ferdhany Muhamad Effendi, Mohd Ikraam Ibrahim, Mohd Fairudz Mohd Miswan
Extraintestinal Salmonella infection involving the thoracic spine is very rare. It commonly presents with non-specific chronic back pain and can occur with no gastrointestinal manifestation. Blood test results and imaging findings are often indistinguishable from more common chronic spine infections such as spine tuberculosis. Culture studies remain the key to establishing a definitive diagnosis and subsequently successful treatment. We report a case in which a patient presented with symptoms and signs suggestive of spine tuberculosis, yet the culture examination revealed otherwise...
July 5, 2016: BMJ Case Reports
Hau Wei Khoo, Ying Ying Chua, John L T Chen
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...
2016: Case Reports in Orthopedics
Ebru Kurşun, Tuba Turunç, Uğur Ozkan, Yusuf Ziya Demiroğlu
The rate of non-typhoid Salmonella infections has increased remarkably in recent years. Endovascular system infection is one of the most serious forms of extraintestinal Salmonella infection. The abdominal aorta is frequently involved, while bone and joint involvement are rarely seen. We present a rare case of successful endovascular treatment of a left iliac artery rupture and pseudoaneurysm both occurring due to the direct invasion of lumbar spondylodiscitis caused by Salmonella typhimurium.
2014: Acta Orthopaedica et Traumatologica Turcica
Michal Tomek, Nicholas J W Cheshire, Nung Rudarakanchana, Dunisha Samarasinghe, Colin D Bicknell
Non-typhoidal Salmonella infections typically cause self-limiting gastroenteritis. However, extraintestinal focal infections, including mycotic aneurysms of the aorta, can also occur. We present the case of a 71-year-old man with chronic lymphocytic leukemia (CLL) and a large type V thoracoabdominal mycotic aneurysm infected with Salmonella enteritidis, complicated by thoracolumbar spondylodiscitis, paravertebral collections, and epidural abscess. This is the first report of Salmonella aortitis in the setting of CLL, and the unusual extent of local infective invasion seen here with Salmonella enteritidis infection raises a suspicion of CLL-related immunosuppression as a direct predisposing factor...
November 2013: Annals of Vascular Surgery
Davide Tassinari, Sara Forti, Michele Torella, Giovanni Tani
We describe the case of a 3-year-old girl with a 15-day clinical history of lower back pain. We diagnosed a spondylodiscitis of vertebral bodies L5-S1 caused by Salmonella species group B that totally recovered with appropriate antibiotic therapy. Spondylodiscitis in children is a rare condition and Salmonella infection is one of the rarest aetiology. A high index of suspicion is needed for prompt diagnosis to ensure better long-term outcome. Microbiological diagnosis is essential for the appropriate choice of antibiotic treatment...
2013: BMJ Case Reports
Raoul Borioni, Laura Fratticci, Mauro Di Roma, Armando Mancinelli, Barbara Zechini, Ilaria Versace, Franco Turani, Mariano Garofalo
AIM: To report surgical treatment of a ruptured abdominal aortic aneurysm (AAA) associated with spondylodiscitis due to Salmonella in emergency setting. CASE REPORT: A 69-year-old male with an history of hypertension, presented with a ruptured AAA infected by nontyphoidal Salmonella (type H), associated with spondylodiscitis. Patient underwent an emergency operation consisting in surgical debridment of infected tissue and aortic replacement with a prosthetic Dacron graft impregnated with Gentamycine...
July 2012: Annali Italiani di Chirurgia
Klodiana Shkurti-Leka, Dhimiter Kraja, Nikollaq Leka, Gjergji Vreto, Kastriot Melyshi, Genti Kasmi
Salmonella is a gram-negative bacillus that penetrates in human from contaminated food or water. Sallmonela spondylodiscitis is a rare condition occur secondary to hematogenous spread after bacteremia episode. We presented a successful treatment with Levofloxacin in a 26 years old immunocompetent male with a septic form of sallmonelosis complicated with lumbar spondylodiscitis without surgery. He was treated with intravenous Levofloxacin for three weeks and was discharged from the hospital with oral Levofloxacin for more than two months...
2011: Medicinski Arhiv
Rohit Amritanand, K Venkatesh, Gabriel D Sundararaj
STUDY DESIGN: Retrospective case series. OBJECTIVE: To report the clinical features, diagnostic dilemmas and management options of 11 immunologically normal patients with salmonella spondylodiscitis. SUMMARY OF BACKGROUND DATA: Majority of existing data on salmonella spondylodiscitis in the immunologically normal patient is from anecdotal case report. METHODS: From 1995 to 2008, 11 patients with salmonella spondylodiscitis proven by positive culture, biopsy, and Widal test were included...
November 1, 2010: Spine
Gompol Suwanpimolkul, Sumanee Nilgate, Chusana Suankratay
We describe the first case of typhoid spondylodiscitis in Southeast Asia, and the literature were also reviewed. A 57-year-old diabetic Thai man who presented with a one-month course of progressive low back pain associated with paraparesis and bowel-bladder dysfunction. Examination revealed local tenderness over T12 area, spastic paraparesis, impaired pinprick sensation up to T12 level, and loose anal sphincter tone. Magnetic resonance imaging showed spondylodiscitis of T11 and T12 and epidural abscess causing spinal cord compression...
January 2010: Journal of the Medical Association of Thailand
Thomas J Learch, Brian Sakamoto, Amy C Ling, Suzanne M Donovan
Each year, 1.4 million people in the United States are infected with Salmonella (Beneson et al. [23] Am J Med, 110:60-63, 2001). The most common clinical presentation of Salmonella infection is gastroenteritis which is usually self-limited, lasting between one to four days (Black et al. [24] N Engl J Med, 261:811-816, 1960). Although most infections are mild-to-moderate, serious disease, and death does occur (Voetsch et al. [25] CID, 38:S127-S132, 2004). A rare but increasing number of patients present with Salmonellosis spondylodiscitis resulting from contiguous spread of infection from the adjacent abdominal aorta...
March 2009: Emergency Radiology
V Fihman, D Hannouche, V Bousson, T Bardin, F Lioté, L Raskine, J Riahi, M J Sanson-Le Pors, B Berçot
OBJECTIVES: The microbiological diagnosis of osteoarticular infections currently relies on microbiological cultures, to specifically target treatment. However, these conventional methods sometimes lack of sensitivity and of specificity to establish definitive diagnosis. This study was conducted to determine whether molecular method could improve bacterial bone and joint infection diagnosis. METHODS: We evaluated the performance of nucleic acid extraction with the semi-automated NucliSens miniMAG instrument coupled to 16S rDNA sequencing on 76 samples collected from 51 patients with suspected infections: prosthetic-joint infection (15), spondylodiscitis (7) acute septic arthritis (11) and 18 controls...
December 2007: Journal of Infection
M Zebouh, C Loïez, L Marceau, M H Vieillard, D Izard, R J Courcol
We reported a case of lombar spondylodiscitis caused by Salmonella enteritica serotype Typhi in an immunocompetent patient. Salmonella is a rare causative agent of spondylodiscitis. Early bacteriological diagnosis is essential to avoid longterm sequelae.
September 2005: Annales de Biologie Clinique
I-Chang Chang
The optimal treatment of salmonella spondylodiscitis is controversial. The cases of eight patients who had salmonella spondylitis without sickle cell disease were reviewed. Back pain (100%), fever (75%), and elevated C-reactive protein levels (100%) were common, but gastrointestinal symptoms were not (0%). Six patients had positive blood cultures, and the other two had positive tissue cultures. Group C1 salmonella was the most common serotype. Two patients with coexisting aortic mycotic aneurysms had immediate aneurysm resection...
January 2005: Clinical Orthopaedics and related Research
Asdrubal Falavigna, Fernando Antonio Patriani Ferraz
We report a case of spontaneous cervical spondylodiscitis caused by Salmonella typhi. A 52-year-old man presented in the neurosurgical service with complaints of pain in the cervical and scapular region. Cervical inflammatory disease was suggested by bone scintigraphy and magnetic resonance imaging. The diagnosis of Salmonella typhi spondylodiscitis was established by blood culture and culture of needle biopsy specimen taken from the C5 vertebra. The agglutinin titers for Salmonella were elevated. Intravenous ciprofloxacin therapy and external immobilization with a halo vest were instituted...
December 2002: Arquivos de Neuro-psiquiatria
Ch Ben Taarit, S Turki, H Ben Maiz
The authors report their findings in a retrospective study of 151 cases of infectious spondylitis collected between 1970 and 2000. Diagnosis was based on bacteriological or pathological confirmation or on clinical, radiological and outcome arguments. Among 151 cases of infectious spondylitis diagnosed and treated, 110 were due to tuberculosis and 41 to other causes. There were 82 men and 69 women, with a mean age of 42 years. The delay from onset to diagnosis was 12 months. Risk factors were observed in 21% of the cases...
October 2002: Acta Orthopaedica Belgica
F Maiuri, G Iaconetta, B Gallicchio, A Manto, F Briganti
STUDY DESIGN: This study reviews 65 patients with spondylodiscitis, both spontaneous and postoperative and of different etiology, studied by magnetic resonance imaging. OBJECTIVES: To define the magnetic resonance imaging characteristics of infections of the spine in acute and chronic stages and to evaluate the role of magnetic resonance imaging in defining their etiology. BACKGROUND DATA: Early diagnosis of spondylodiscitis is often difficult because of the long latent period...
August 1, 1997: Spine
B Perras, B Kreft, G Wiedemann
Four weeks after an attack of bronchopneumonia a 59-year-old veterinary surgeon developed backache. The chest radiograph showed an impression fracture of the 11th thoracic vertebra. Persisting fever led to hospitalization. Several blood cultures grew Salmonella enteritidis. Computed tomography demonstrated a fracture of the 11th thoracic vertebra with osteolytic infiltration and paravertebral soft-tissue infiltration. Bone scan showed band-like contrast enhancement in the same area. Treatment at first consisted of Ciprofloxacin, 200 mg twice daily intravenously for 5 days, then 750 mg orally twice daily for 3 months...
December 17, 1993: Deutsche Medizinische Wochenschrift
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