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A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
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Salmonella Typhi Vertebral Osteomyelitis and Epidural Abscess
Hau Wei Khoo1, Ying Ying Chua2, John L T Chen1
1Department of Orthopaedics Surgery, Singapore General Hospital, Outram Road, Singapore 169608.
Case Reports in Orthopedics
|April 2, 2016
Summary
Salmonella vertebral osteomyelitis is a rare complication. This case highlights a successful surgical and antibiotic treatment for Salmonella Typhi spondylodiscitis in a transgender male patient.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Spinal Surgery
Background:
- Vertebral osteomyelitis caused by Salmonella is uncommon.
- Spinal epidural abscesses can lead to severe neurological deficits if not treated promptly.
Purpose of the Study:
- To report a case of Salmonella Typhi vertebral osteomyelitis and epidural abscess.
- To describe the successful management of this rare spinal infection.
Main Methods:
- A 57-year-old transgender male presented with lower back pain.
- Diagnostic imaging (MRI) revealed spondylodiscitis and an epidural collection.
- Surgical decompression, instrumentation, fusion, and targeted antibiotic therapy (ceftriaxone) were administered.
Main Results:
- Cultures identified Salmonella Typhi.
- The patient underwent successful surgical intervention.
- Postoperative antibiotic treatment led to full recovery without neurological deficits.
Conclusions:
- Salmonella vertebral osteomyelitis, though rare, requires prompt diagnosis and multidisciplinary management.
- Surgical intervention combined with appropriate antibiotic therapy can achieve favorable outcomes.
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