An uncommon cause of paraplegia: Salmonella spondylodiskitis.
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.


CONCLUSIONS
Immunocompromised patients who undergo endoscopic intervention are vulnerable to Salmonella infections. One must consider Salmonella infection in those who develop acute progressive spondylodiskitis.
Ozturk
Cagatay
C
Istanbul Spine Center, Florence Nightingale Hospital, Istanbul, Turkey. cgtyztrk@yahoo.com
Tezer
Mehmet
M
Mirzanli
Cuneyt
C
Erkal Bilen
F
F
Aydogan
Mehment
M
Hamzaoglu
Azmi
A
D017081:Cholecystectomy, Laparoscopic; D003646:Debridement; D015299:Discitis / Q000150:complications* / Q000209:etiology / Q000382:microbiology* / Q000601:surgery; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology* / Q000473:pathology; D011183:Postoperative Complications; D012480:Salmonella Infections / Q000150:complications*; D012486:Salmonella typhimurium; D013123:Spinal Fusion