An Extremely Rare Case of Upper Thoracic Salmonella Infection.

IF 1.7 Q2 ORTHOPEDICS

Orthopedic Research and Reviews Pub Date : 2021-08-07 eCollection Date: 2021-01-01 DOI:10.2147/ORR.S319616

Didik Librianto, Suhendro Suwarto, Darma Imran, Hikmat Pramukti, Ifran Saleh, Fachrisal Ipang, Widyastuti Srie Utami, Dina Aprilya

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引用次数: 5

Abstract

Background: Vertebral osteomyelitis is rare. Finding the right etiological agent is important to administer antibiotic regimen accordingly. The occurrence of this disease in endemic countries raises the susceptibility of a more common infection such as tuberculosis and pyogenic bacteria. Salmonella spp. infection is also common in endemic countries; however, extra-intestinal manifestation is very rare.

Methods: We present an extremely rare case of salmonella vertebral osteomyelitis (SVO) in the upper thoracic vertebrae of a 64-year-old patient with history of cardiac surgery and other pre-existing comorbidities. SVO was treated by antibiotics, surgical debridement and spinal stabilization.

Results: Three weeks after surgery and intravenous antibiotics, the patient recovered and was discharged without fever and back pain, with excellent motoric improvement.

Conclusion: Salmonella infection must be considered to be one of possible etiological agents in patients with suggestive spondylitis in emerging countries, especially in those with comorbidities.

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一例极为罕见的上胸椎沙门氏菌感染。

背景:椎体骨髓炎是罕见的。找到正确的病原对相应的抗生素治疗方案具有重要意义。这种疾病在流行国家的发生增加了结核病和化脓性细菌等更常见感染的易感性。沙门氏菌感染在流行国家也很常见;然而，肠外表现非常罕见。方法:我们报告了一例极其罕见的沙门氏菌椎体骨髓炎(SVO)病例，该病例发生在64岁的上胸椎，有心脏手术史和其他既往合并症。SVO的治疗采用抗生素、手术清创和脊柱稳定。结果:术后3周静脉注射抗生素，患者痊愈出院，无发热、背痛，运动改善良好。结论:沙门氏菌感染应被认为是新兴国家暗暗性脊柱炎患者的可能病因之一，特别是在有合并症的患者中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orthopedic Research and Reviews Medicine-Orthopedics and Sports Medicine

CiteScore

2.80

自引率

0.00%

发文量

审稿时长

16 weeks

期刊介绍： Orthopedic Research and Reviews is an international, peer-reviewed, open-access journal focusing on the patho-physiology of the musculoskeletal system, trauma, surgery and other corrective interventions to restore mobility and function. Advances in new technologies, materials, techniques and pharmacological agents will be particularly welcome. Specific topics covered in the journal include: Patho-physiology and bioengineering, Technologies and materials science, Surgical techniques, including robotics, Trauma management and care, Treatment including pharmacological and non-pharmacological, Rehabilitation and Multidisciplinarian care approaches, Patient quality of life, satisfaction and preference, Health economic evaluations. The journal welcomes submitted papers covering original research, basic science and technology, clinical studies, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.