Salmonella Spondylitis on Thoracic Spine: A Case Report.
- Author:
Kyung Jin SONG
;
Kyung Rae LEE
- Publication Type:Case Report
- Keywords:
Thoracic spine;
Salmonella Spondylitis;
Anterior curettage;
Fusion
- MeSH:
Abscess;
Ampicillin;
Anemia, Sickle Cell;
Back Pain;
Chest Pain;
Chloramphenicol;
Curettage;
Diagnosis;
Drainage;
Female;
Fever;
Gentamicins;
Humans;
Lower Extremity;
Osteomyelitis;
Salmonella Infections;
Salmonella typhi;
Salmonella*;
Spine*;
Spondylitis*;
Suppuration;
Tetracycline;
Transplants;
Tuberculosis, Pulmonary;
Typhoid Fever
- From:The Journal of the Korean Orthopaedic Association
1997;32(6):1424-1430
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of bacteriologically proven salmonella infection on the thoracic vertebra in a patient with previous history of pulmonary tuberculosis, in the non-endemic area with no history of sickle cell disease and typhoid fever. A forty-three years old female patient was admitted because of severe back pain, chest pain, lower extremity weakness and intermittent high fever elevation. On plain X-ray there was narrowing of T11-12 disc space with adjacent vertebral body destruction localized centrally around the disc and paravertebral abscess. She had an old history of pulmonary tuberculosis and treated with antituberculosis medication twenty years ago. We treated this patient by abscess drainage, anterior curettage and iliac corticocancellous strut bone graft over the T11 to T12 by anterior transthoracic approach. Histopathological diagnosis was chronic vertebral osteomyelitis with chronic inflammatory reaction. Pus culture reported to have grown salmonella typhi group D, sensitive to ampicillin, chloramphenicol, gentamicin and tetracycline. We could establish the diagnosis and effectively treat the disease with early surgical intervention.
