title: Salmonella Typhi Vertebral Osteomyelitis and Epidural Abscess.
abstract: Salmonella vertebral osteomyelitis is an uncommon complication of Salmonella infection. We report a case of a 57-year-old transgender male who presented with lower back pain for a period of one month following a fall. Physical examination only revealed tenderness over the lower back with no neurological deficits. MRI of the thoracic and lumbar spine revealed a spondylodiscitis at T10-T11 and T12-L1 and right posterior epidural collection at the T9-T10 level. He underwent decompression laminectomy with segmental instrumentation and fusion of T8 to L3 vertebrae. Intraoperatively, he was found to have acute-on-chronic osteomyelitis in T10 and T11, epidural abscess, and discitis in T12-L1. Tissue and wound culture grew Salmonella Typhi and with antibiotics susceptibility guidance he was treated with intravenous ceftriaxone for a period of six weeks. He recovered well with no neurological deficits.
authors.affiliation: Department of Orthopaedics Surgery, Singapore General Hospital, Outram Road, Singapore 169608.
authors.forename: Hau Wei
authors.identifier: 0000-0002-9843-1567
authors.initials: HW
authors.lastname: Khoo
authors.affiliation: Department of Infectious Diseases, Singapore General Hospital, Outram Road, Singapore 169608.
authors.forename: Ying Ying
authors.initials: YY
authors.lastname: Chua
authors.affiliation: Department of Orthopaedics Surgery, Singapore General Hospital, Outram Road, Singapore 169608.
authors.forename: John L T
authors.initials: JL
authors.lastname: Chen