Spondylodiscitis due to Salmonella Typhi: a series of four cases (original) (raw)
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Case Report Sacroiliitis caused by Salmonella typhi
2014
Although the commonest manifestation of Salmonella infection is acute gastroenteritis, infection may spread to the blood-stream may and the illness can present with focal lesions in almost any organ with or without septicemia. We describe here a case of Salmonella typhi infection of a sacroiliac joint that was cured with ciprofloxacin therapy for six weeks. The patient was immunologically normal. Salmonella etiology was not suspected in this case, and the diagnosis was made only after bacterial isolation. Physicians should be aware of this rare manifestation of Salmonella infection, especially in endemic areas.
Salmonella Typhi dorsolumbar spondylodiscitis mimicking tuberculosis – An interesting case report
Surgical Neurology International
Background: Salmonella rarely causes spinal infections in patients other than those who are immunocompromised or have sickle cell anemia. Further, most cases occurring in healthy individuals have preexisting gastrointestinal infections. Here, we present a case of pyogenic spondylodiscitis attributed to Salmonella Typhi, in an immunologically normal patient without gastrointestinal pathology. Case Description: A 58-year-old diabetic female complained of lower back pain and malaise. The workup for spinal tuberculosis was negative, but her MRI revealed findings consistent with pyogenic spondylodiscitis (e.g., destruction and instability) for which she required posterior spinal surgery. The organism proved to be S. Typhi; she was treated for 2 months and followed-up for 2 years. Conclusion: Salmonella spondylodiscitis should be considered among the differential diagnoses for patients with features of infective spondylodiscitis. Culture-specific antibiotics are the cornerstone of treatme...
Sacroiliitis caused by Salmonella typhi
The Journal of Infection in Developing Countries, 2009
Although the commonest manifestation of Salmonella infection is acute gastroenteritis, infection may spread to the blood-stream may and the illness can present with focal lesions in almost any organ with or without septicemia. We describe here a case of Salmonella typhi infection of a sacroiliac joint that was cured with ciprofloxacin therapy for six weeks. The patient was immunologically normal. Salmonella etiology was not suspected in this case, and the diagnosis was made only after bacterial isolation. Physicians should be aware of this rare manifestation of Salmonella infection, especially in endemic areas.
Salmonella paratyphi: A rare cause for infective spondylitis and psoas abscess
Sri Lankan Journal of Infectious Diseases, 2013
Invasive salmonellosis is severe and can be life threatening. This is confounded by the emergence of antibacterial resistance-particularly multidrug resistant strains among salmonellae. Primary bone and joint infections due to salmonellae account for less than 1% of all salmonella infections and most of the isolates were Salmonella typhi and classically reported in patients with sickle cell disease. This is a case report of a previously undiagnosed type 2 diabetic patient admitted with sepsis who had infective spondylitis involving 1 st to 4 th lumbar vertebrae and a right psoas abscess due to S.paratyphi A. Case report A 60 year old female from Jaffna presented to the General Hospital (Teaching) Jaffna with a complaint of fever with chills and rigors, dysuria and back pain of 10 days duration and shortness of breath at rest with chest pain since morning on the day of admission. She had no recent history of diarrhoea.
Sacroiliitis due to Salmonella Typhi: A case report
North American journal of medical sciences, 2010
Pyogenic infections of the sacroiliac joint are observed quite rarely. The most frequent causative microorganisms are Staphylococcus aureus, Streptococcus species, and Pseudomonas aeruginosa that are commonly found in patients under intravenous medication. In this paper, a rare sacroiliitis case that developed due to Salmonella Typhi is discussed. A woman at the age of twenty applied to our clinic with complaints of fever, headache and diarrhea with which she had been suffering for five days. On physical examination, she had a slight fever, with a body temperature of 38.6°C. She was hospitalized, and Salmonella Typhi was isolated from her blood culture. Later on, the patient described pain during left hip movement. Diffusion-weighted magnetic resonance imaging and scintigraphic examinations revealed left sacroiliitis. Although sacroiliitis arising from Salmonella Typhi infection is a rare entity, it should not be ignored in patients who have a clinical history for sacroiliitis.
Acute Paraplegia Due to Salmonella brandenburg Spondylodiscitis: Case Report
Open Journal of Modern Neurosurgery, 2019
The authors present the case of a 48-year-old man admitted for acute onset of paraplegia in a patient suffering from backaches for 1 week. The rapidly progressive motor disturbances had been evolving for approximately 12 hours. The entire spinal MRI showed an epidural mass at T4-T6 associated with extensive lesions of spondylodiscitis and a T7-T8 vertebral body loss of height. A large six-level laminectomy was performed. A tumoral etiology couldn't be entirely excluded intraoperatively so that no fusion has been done at that time. The pathological exam revealed acute inflammatory lesions with no argument in favor of a tumoral process. Bacteriological exam of the pathological specimen and stools cultures were positive for Salmonella brandenburg. An episode of gastroenteritis after the ingestion of a pizza has been evoked. The antibiotic medication was prescribed for 12 weeks. Postoperative evolution was favorable with a possible march between bars 6 weeks after. The authors emphasize the pseudo-tumoral presentation in an immunocompetent patient, the lack of complications and the post-ingestion mechanism.
Acute Paraplegia Due to Salmonella brandenburg Spondylodiscitis: Case Report
Open Journal of Modern Neurosurgery
The authors present the case of a 48-year-old man admitted for acute onset of paraplegia in a patient suffering from backaches for 1 week. The rapidly progressive motor disturbances had been evolving for approximately 12 hours. The entire spinal MRI showed an epidural mass at T4-T6 associated with extensive lesions of spondylodiscitis and a T7-T8 vertebral body loss of height. A large six-level laminectomy was performed. A tumoral etiology couldn't be entirely excluded intraoperatively so that no fusion has been done at that time. The pathological exam revealed acute inflammatory lesions with no argument in favor of a tumoral process. Bacteriological exam of the pathological specimen and stools cultures were positive for Salmonella brandenburg. An episode of gastroenteritis after the ingestion of a pizza has been evoked. The antibiotic medication was prescribed for 12 weeks. Postoperative evolution was favorable with a possible march between bars 6 weeks after. The authors emphasize the pseudo-tumoral presentation in an immunocompetent patient, the lack of complications and the post-ingestion mechanism.
Salmonella Typhi: A cause of septic arthritis knee: A Rare entity
Salmonella species enterica subspecies enterica serovar Typhi infection may result in various presentations like enteric fever, septicaemia with and without local suppurative lesions, gastroenteritis and the carrier state. Arthritis is an uncommon and rare manifestation of salmonella infection. Here, we report a case of septic arthritis of knee in a patient with benign prostate hypertrophy and catheter in situ. The case is presented for its rarity and to highlight the atypical manifestations of Salmonella Typhi in endemic regions. Hence salmonella species must always be kept in mind for the differential diagnosis of septic arthritis in a clinically relevant setting. Although few case reports have been reported signifying Salmonella enteritidis as a cause of septic arthritis knee however this is the first report of septic arthritis knee caused by Salmonella Typhi.
International Journal of Surgery Case Reports, 2020
Introduction Septic arthritis is a rapid and progressive infection caused by invasion of bacteria into the synovial joint. Disease of the joint causedby Salmonella spp in healthy children is an unusual event, with an estimated incidence of 0.1 to 0.2% of septic arthritis cases among children. The incidence of knee septic arthritis caused by Salmonella typhi with preexisting typhoid fever is very rare. Method We reported a case of 2-years old boy with a history of saddle-type fever 2 weeks prior to right knee pain. Typhoid fever was confirmed by immunoassay test. Knee septic arthritis was established from clinical findings, increased CRP level, ultrasonography, and joint aspiration. Culture of the aspirate subsequently grew Salmonella typhi. This case report had been reported in line with SCARE criteria. Result Arthrotomy and debridement were immediately performed.Intravenous piperacillin tazobactam was given for 6 days and replaced by amoxicillin clavulanic acid after the culture an...
An Uncommon Cause of Paraplegia: Salmonella Spondylodiskitis
Background/Objective: Salmonella spondylodiskitis is an uncommon type of vertebral infection. The aim of this study was to present a case of progressive paraplegia caused by Salmonella spondylodiskitis and epidural abscess after endoscopic cholecystectomy. Methods: The patient underwent posterior instrumentation and posterior fusion between T6 and T12, hemilaminotomies at levels T8-T9-T10, and drainage of the abscess. Through a left thoracotomy, anterior T8–T10 corpectomy, debridement, anterior stabilization, and fusion were conducted. Results: Fifteen months later, final follow-up showed no complications secondary to the vertebral and hip surgeries, and neurological status improved to Frankel grade E. Laboratory investigations showed no evidence of Salmonella infection. Conclusion: Immunocompromised patients who undergo endoscopic intervention are vulnerable to Salmonella infections. One must consider Salmonella infection in those who develop acute progressive spondylodiskitis.