Salmonella spondylitis in the thoracic spine

W. H. Liu, Cheng T. Hsieh, Hoi B. Chan, Yung-Hsiao Chiang, Y. H. Su

Research output: Contribution to journalArticle

Abstract

Salmonella spondylitis is a rare type of infectious disease in the spine with an incidence of less than 1%. Early diagnosis and antibiotic treatment is essential and percutaneous transpedicular biopsy is a minimally invasive technique used to prove the infection. Here we report a 60-year-old woman with a 40-year history of duodenal ulcer, who was admitted with lower-back pain and weakness in the lower limbs complicated with low-grade fever and abdominal pain, which had developed one week before admission. Radiographs of the thoracic spine revealed destructive lesions over the endplates of T11-T12 and magnetic resonance (MR) images demonstrated fluid accumulation with endplate erosion of T11-T12. Empiric antibiotic treatment with oxacillin had no effect, so percutaneous transpedicular biopsy was performed. Salmonella C1 group bacteria were identified from cultures. The patient's symptoms subsided after six weeks of ceftriaxone treatment, and she was discharged without any neurological deficits.

Original languageEnglish
Pages (from-to)223-225
Number of pages3
JournalJournal of Medical Sciences (Taiwan)
Volume26
Issue number6
Publication statusPublished - Dec 2006
Externally publishedYes

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Keywords

  • Salmonella
  • Salmonella spondylitis
  • Spondylitis
  • Thoracic spine

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Liu, W. H., Hsieh, C. T., Chan, H. B., Chiang, Y-H., & Su, Y. H. (2006). Salmonella spondylitis in the thoracic spine. Journal of Medical Sciences (Taiwan), 26(6), 223-225.