title: Bug on the back: vertebral osteomyelitis secondary to fluoroquinolone resistant Salmonella typhi in an immunocompetent patient.
abstract: Although Salmonella osteomyelitis is commonly seen in immunocompromised patients, it may occasionally affect an immunocompetent host. Symptoms are usually non-specific, such as fever, abdominal or back pain; hence it should be considered in the differential diagnosis of patients with a history of travel to endemic regions. Fluoroquinolone resistance is rising and non-responsive patients should be treated with ampicillin, trimethoprim-sulfamethoxazole and ceftriaxone. We present a case of acute T8-T11 osteomyelitis with cord compression caused by a fluoroquinolone resistant strain of Salmonella typhi.
authors.affiliation: Division of General Internal Medicine, Cooper Medical School of Rowan University (CMSRU), Camden, New Jersey, USA.
authors.forename: Pragya
authors.initials: P
authors.lastname: Shrestha
authors.affiliation: Division of General Internal Medicine, Cooper Medical School of Rowan University (CMSRU), Camden, New Jersey, USA.
authors.forename: Sachin
authors.initials: S
authors.lastname: Mohan
authors.affiliation: Division of General Internal Medicine, Cooper Medical School of Rowan University (CMSRU), Cherry Hill, New Jersey, USA.
authors.forename: Satyajeet
authors.initials: S
authors.lastname: Roy
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004352:Drug Resistance, Microbial; D006801:Humans; D064704:Levofloxacin / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D012480:Salmonella Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D012485:Salmonella typhi / Q000187:drug effects*; D013117:Spinal Cord Compression / Q000209:etiology / Q000601:surgery; D013904:Thoracic Vertebrae / Q000382:microbiology*; D014195:Travel; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D064704:Levofloxacin