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. 2010 Dec;59 Suppl(Suppl):S233-7.
doi: 10.4097/kjae.2010.59.S.S233. Epub 2010 Dec 31.

A Case of Back Pain Caused by Salmonella Spondylitis -A Case Report-

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Free PMC article

A Case of Back Pain Caused by Salmonella Spondylitis -A Case Report-

Yun Suk Choi et al. Korean J Anesthesiol. .
Free PMC article

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.

Keywords: Back pain; Salmonella; Spondylitis.

Figures

Fig. 1
Fig. 1
The lumbar-spine MRI taken before admission shows bulging discs at L 3/4 and L 4/5. (A) The T2 sagittal image (B) and the T2 coronal image.
Fig. 2
Fig. 2
The lumbar spine MRI taken in December 2009. The psoas paravertebral abscess and infiltration with edema of the L3 vertebral body are seen. (A) The T2 sagittal image (B), the T2 Transverse image (C) and the T2 coronal image.
Fig. 3
Fig. 3
The lumbar spine MRI taken in March 2010. (A) The sagittal plane, T2-weighted MRI, (B) the coronal plane, T1-weighted MRI and (C) the transverse plane T1-weighted MRI.

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