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Bug on the back: vertebral osteomyelitis secondary to fluoroquinolone resistant Salmonella typhi in an
Pragya Shrestha1, Sachin Mohan1, Satyajeet Roy2
1Division of General Internal Medicine, Cooper Medical School of Rowan University (CMSRU), Camden, New Jersey, USA.
Abstract:
Although Salmonella osteomyelitis is commonly seen in immunocompromised patients, it may occasionally affect an immunocompetent host. Symptoms are usually non-specific, such as fever, abdominal or back pain; hence it should be considered in the differential diagnosis of patients with a history of travel to endemic regions. Fluoroquinolone resistance is rising and non-responsive patients should be treated with ampicillin, trimethoprim-sulfamethoxazole and ceftriaxone. We present a case of acute T8-T11 osteomyelitis with cord compression caused by a fluoroquinolone resistant strain of Salmonella typhi.
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