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Related Experiment Videos

Typhoid osteomyelitis of the lumbar spine.

F Y Khan1, A H El-Hiday, H A Kamel

  • 1Department of Medicine, Hamad General Hospital, Doha, Qatar. fakhanqal@yahoo.co.uk

Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|October 10, 2006
PubMed
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Spinal osteomyelitis caused by Salmonella typhi can present as fever and backache. Early diagnosis and treatment with antibiotics are crucial for recovery, as demonstrated in this case of a Nepali man.

Area of Science:

  • Infectious Diseases
  • Orthopedics
  • Radiology

Background:

  • Spinal osteomyelitis is a serious infection requiring prompt diagnosis and treatment.
  • Salmonella typhi is a common cause of enteric fever in endemic regions.
  • Back pain and fever are common but non-specific symptoms that can indicate spinal infection.

Observation:

  • A 25-year-old man presented with prolonged fever and lower backache.
  • MRI revealed inflammation and erosion of the L4-L5 vertebrae and intervertebral disc.
  • CT-guided aspiration identified Salmonella typhi infection.

Findings:

  • The patient was successfully treated with intravenous ampicillin for six weeks.
  • Complete resolution of symptoms and discharge were achieved.

Related Experiment Videos

  • Salmonella typhi was sensitive to ampicillin, ciprofloxacin, and ceftriaxone.

    • Implications:

    • Typhoid osteomyelitis of the spine is a critical differential diagnosis in patients from endemic areas presenting with fever and back pain.
    • Prompt identification and targeted antibiotic therapy are essential for favorable outcomes.
    • This case highlights the importance of considering infectious etiologies in spinal pathologies.