SALMONELLA SPONDYLITIS IN NON-SICKLE CELL PATIENTS
This article was a retrospective study of Salmonella spondylitis in seven non-sickle cell anemic patients. The objective of this study was to clarify the clinical manifestations of spinal infection by Salmonella, and to select the proper method of treatment. Comparison with the reported 25 cases in...
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Published in | Journal of musculoskeletal research Vol. 5; no. 4; pp. 253 - 260 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
World Scientific Publishing Company
01.12.2001
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Subjects | |
Online Access | Get full text |
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Summary: | This article was a retrospective study of Salmonella
spondylitis in seven non-sickle cell anemic patients. The objective
of this study was to clarify the clinical manifestations of spinal
infection by Salmonella, and to select the proper method of
treatment. Comparison with the reported 25 cases in the literature was
also attempted.
The clinical symptoms and signs, laboratory data, bony images,
treatment modalities and outcomes were documented, and compared with
the 25 cases in the English literatures. The patients all suffered
from insidious onset of low back pain, with progressive increasing
intensity. Leucocytosis (>9000) and body temperature elevation (>37°C) were noted in four cases. Positive cultures were mainly
obtained from blood (5 cases) and surgical specimens (one case) before
treatment. One patient also had positive culture in the stool and
urine. Six patients underwent surgical debridement of the infected
foci, while one patient received antibiotic treatment only. The outcome
was good in the uncomplicated cases. One patient with concurrent aortic
aneurysm died of sepsis. We stress that Salmonella infection
can be found in the apparently healthy persons. In the endemic region,
high suspicion is needed. Surgical debridement, bone grafting and two
months of antibiotic treatment are recommended. |
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Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 |
ISSN: | 0218-9577 1793-6497 |
DOI: | 10.1142/S0218957701000593 |