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Case Reports in Orthopedics
Volume 2016, Article ID 6798157, 3 pages
http://dx.doi.org/10.1155/2016/6798157
Case Report

Salmonella Typhi Vertebral Osteomyelitis and Epidural Abscess

1Department of Orthopaedics Surgery, Singapore General Hospital, Outram Road, Singapore 169608
2Department of Infectious Diseases, Singapore General Hospital, Outram Road, Singapore 169608

Received 30 November 2015; Accepted 8 February 2016

Academic Editor: Mark K. Lyons

Copyright © 2016 Hau Wei Khoo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Salmonella vertebral osteomyelitis is an uncommon complication of Salmonella infection. We report a case of a 57-year-old transgender male who presented with lower back pain for a period of one month following a fall. Physical examination only revealed tenderness over the lower back with no neurological deficits. MRI of the thoracic and lumbar spine revealed a spondylodiscitis at T10-T11 and T12-L1 and right posterior epidural collection at the T9-T10 level. He underwent decompression laminectomy with segmental instrumentation and fusion of T8 to L3 vertebrae. Intraoperatively, he was found to have acute-on-chronic osteomyelitis in T10 and T11, epidural abscess, and discitis in T12-L1. Tissue and wound culture grew Salmonella Typhi and with antibiotics susceptibility guidance he was treated with intravenous ceftriaxone for a period of six weeks. He recovered well with no neurological deficits.