title: Indolent Non-Typhoidal Salmonella Vertebral Osteomyelitis in a Diabetic Patient.
abstract: We herein describe the case of a 59-year-old Japanese man with diabetes mellitus who presented with vertebral osteomyelitis caused by Salmonella enterica subspecies enterica serovar Enteritidis. The patient presented with a persistent fever without back pain. Extraintestinal infections of Salmonella species are well known and are often reported in immunocompromised patients; however, they are rare in non-immunosuppressed patients. The protracted course and atypical presentation of osteomyelitis in diabetic adults can lead to major diagnostic delays. Moreover, in recent years, decreased fluoroquinolone susceptibility against salmonellosis has become a problem worldwide, a problem that needs to be urgently addressed.
authors.affiliation: Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Matono
authors.forename: Nozomi
authors.initials: N
authors.lastname: Takeshita
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kutsuna
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Fujiya
authors.forename: Momoko
authors.initials: M
authors.lastname: Mawatari
authors.forename: Kayoko
authors.initials: K
authors.lastname: Hayakawa
authors.forename: Shuzo
authors.initials: S
authors.lastname: Kanagawa
authors.forename: Norio
authors.initials: N
authors.lastname: Ohmagari
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Kato
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D012480:Salmonella Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D012477:Salmonella enteritidis / Q000302:isolation & purification*; D013904:Thoracic Vertebrae
chemical_list: D000900:Anti-Bacterial Agents