A case of back pain caused by Salmonella spondylitis: A case report.
10.4097/kjae.2010.59.S.S233
- Author:
Yun Suk CHOI
1
;
Woo Jin CHO
;
So Hui YUN
;
Seung Yun LEE
;
Sang Hyun PARK
;
Jong Cook PARK
;
Eun Hee JANG
;
Hhe Young SHIN
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Jeju National University, Jeju, Korea. solafide5@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Back pain;
Salmonella;
Spondylitis
- MeSH:
Abscess;
Anemia, Sickle Cell;
Back Pain;
Fever;
Humans;
Male;
Middle Aged;
Pneumonia;
Salmonella;
Scrub Typhus;
Spondylitis;
Stress, Psychological
- From:Korean Journal of Anesthesiology
2010;59(Suppl):S233-S237
- CountryRepublic of Korea
- Language:English
-
Abstract:
Salmonella spondylitis is a rare illness, and it generally occurs in patients who have already had sickle cell anemia, and it is even rarer in patients who are without sickle cell anemia. A 61-year-old male patient was hospitalized for the evaluation of his renal function and then treatment was started for his back pain. His back pain had developed about 2 months previously without any specific trauma. Only a bulging disc was detected on the initial lumbar MRI. Regarding his fever, it was diagnosed as possible atypical pneumonia, scrub typhus, etc., and multiple antibiotic therapy was administered. At the time of transfer, the leucocytes and hs-CRP were normal and the ESR was elevated. A diagnostic epidural block was performed for his back pain, but his symptoms were not improved. Lumbar MRI was performed again and it showed findings of infective spondylitis. Salmonella D was identified on the abscess culture and so he was diagnosed as suffering from Salmonella spondylitis. After antibiotic treatment, his back pain was improved and the patient was able to walk.
