title: A case of back pain caused by Salmonella spondylitis -A case report-.
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.
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Jeju National University, Jeju, Korea.
authors.forename: Yun Suk
authors.initials: YS
authors.lastname: Choi
authors.forename: Woo-Jin
authors.initials: WJ
authors.lastname: Cho
authors.forename: So-Hui
authors.initials: SH
authors.lastname: Yun
authors.forename: Seung-Yun
authors.initials: SY
authors.lastname: Lee
authors.forename: Sang Hyun
authors.initials: SH
authors.lastname: Park
authors.forename: Jong Cook
authors.initials: JC
authors.lastname: Park
authors.forename: Eun Hee
authors.initials: EH
authors.lastname: Jang
authors.forename: Hhe-Young
authors.initials: HY
authors.lastname: Shin