Infect Chemother.  2008 Aug;40(4):237-240. 10.3947/ic.2008.40.4.237.

Vertebral Osteomyelitis due to Salmonella enterica serovar Othmarschen in an Immunocompetent Patient

Affiliations
  • 1Department of Internal Medicine, Dongguk University College of Medicine, Goyang, Korea. yonathan@hanafos.com
  • 2Division of Enteric Bacterial Infections, Center for Infectious Diseases, National Institute of Health, Seoul, Korea.
  • 3Department of Laboratory Medicine, Dongguk University College of Medicine, Goyang, Korea.
  • 4Department of Orthopedic Surgery, Dongguk University College of Medicine, Goyang, Korea.

Abstract

Salmonellae have been recognized as uncommon etiological organisms causing osteomyelitis in patients with sickle cell anemia and other immunocompromised conditions. A 34-year old man who had no underlying illness except for congenital block vertebrae at T10-11 vertebrae was admitted to the hospital due to lower back pain and fever for a week. Vertebral osteomyelitis was diagnosed and surgical drainage was performed. Salmonella enterica serovar Othmarschen was isolated from the drained pus. Therapy with ciprofloxacin for 8 weeks was successful without relapse. We describe here a case of vertebral osteomyelitis which was caused by S. Othmarschen in an immunocompetent patient.

Keyword

Salmonella enterica serovar Othmarschen; Vertebral osteomyelitis

MeSH Terms

Anemia, Sickle Cell
Ciprofloxacin
Drainage
Fever
Humans
Low Back Pain
Osteomyelitis
Recurrence
Salmonella
Salmonella enterica
Spine
Suppuration
Ciprofloxacin

Figure

  • Figure 1 Chest PA (A) on admission shows a paravertebral mass and left pleural effusion (arrow). A magnetic resonance image (B) shows congenital block vertebrae in T10-T11, paravertebral abscesses and retroperitoneal fluid collection (arrows).


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