Osteomyelitis of the spine due to Salmonella: case report, review of clinical aspects, pathogenesis and treatment.
Osteomyelitis of the spine caused by Salmonella is rare. The authors describe a case in which the patient had fusion of the L1 and L2 vertebrae, which were affected by osteomyelitis. The infecting organism was Salmonella typhimurium. The authors describe the relationship of the vascular anatomy to the development of osteomyelitis of the spine. They discuss the clinical features, diagnosis, pathogenesis and treatment of the disease. Although the association of osteomyelitis due to Salmonella and sickle cell disease has long been known, this patient did not have sickle cell disease or any other condition that would compromise the immune system.
D'Souza
C R
CR
Department of Surgery, Lethbridge Regional Hospital, Alta.
Hopp
P G
PG
Kilam
S
S
D000755:Anemia, Sickle Cell / Q000150:complications; D002511:Cephalosporins / Q000627:therapeutic use; D002701:Chloramphenicol / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004322:Drainage; D004359:Drug Therapy, Combination / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D007154:Immune System Diseases / Q000150:complications; D008159:Lumbar Vertebrae / Q000002:abnormalities*; D008297:Male; D008875:Middle Aged; D016659:Psoas Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D012480:Salmonella Infections / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D012486:Salmonella typhimurium; D013166:Spondylitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D007507:Therapeutic Irrigation; D014031:Tobramycin / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D002511:Cephalosporins; D002701:Chloramphenicol; D014031:Tobramycin