title: Acute Transverse Myelitis Associated with Salmonella Bacteremia: A Case Report.
abstract: BACKGROUND Acute transverse myelitis (ATM) is an uncommon and often overlooked complication of certain bacterial and viral infections that can have a rapid onset and result in severe neurological deficits.  CASE REPORT This case report describes a previously healthy 28-year-old woman who presented to the trauma center after developing acute paralysis and paresthesias of all four extremities within the span of hours. The initial presumptive diagnosis was spinal cord contusion due to a fall versus an unknown mechanism of trauma, but eventual laboratory studies revealed Salmonella bacteremia, indicating a probable diagnosis of parainfectious ATM. CONCLUSIONS This case illustrates the importance of considering the diagnosis of parainfectious ATM in patients presenting with acute paralysis with incomplete or unobtainable medical histories.
authors.affiliation: Department of General Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
authors.forename: Mary E
authors.initials: ME
authors.lastname: Richert
authors.affiliation: Department of General Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
authors.forename: Hillary
authors.initials: H
authors.lastname: Hosier
authors.affiliation: Department of General Surgery, University of Maryland Medical Center, Baltimore, MD, USA.|Department of Surgery, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA.
authors.forename: Adam S
authors.initials: AS
authors.lastname: Weltz
authors.affiliation: Department of General Surgery, University of Maryland Medical Center, Baltimore, MD, USA.|Department of Surgery, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA.
authors.forename: Eric S
authors.initials: ES
authors.lastname: Wise
authors.affiliation: Department of Infectious Diseases, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA.
authors.forename: Manjari
authors.initials: M
authors.lastname: Joshi
authors.affiliation: Department of General Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.|Department of Surgery, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA.
authors.forename: Jose J
authors.initials: JJ
authors.lastname: Diaz
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D002443:Ceftriaxone / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004750:Enteral Nutrition / Q000379:methods; D005260:Female; D006801:Humans; D007582:Jejunostomy / Q000379:methods; D009188:Myelitis, Transverse / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D011379:Prognosis; D012480:Salmonella Infections / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D014139:Tracheostomy / Q000379:methods
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone