Department of Anesthesiology and Pain Medicine, College of Medicine, Jeju National University, Jeju, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S233-7. doi: 10.4097/kjae.2010.59.S.S233. Epub 2010 Dec 31.
Salmonella spondylitis is a rare illness, and it generally occurs in patients who have already had sickle cell anemia, and it is even rarer in patients who are without sickle cell anemia. A 61-year-old male patient was hospitalized for the evaluation of his renal function and then treatment was started for his back pain. His back pain had developed about 2 months previously without any specific trauma. Only a bulging disc was detected on the initial lumbar MRI. Regarding his fever, it was diagnosed as possible atypical pneumonia, scrub typhus, etc., and multiple antibiotic therapy was administered. At the time of transfer, the leucocytes and hs-CRP were normal and the ESR was elevated. A diagnostic epidural block was performed for his back pain, but his symptoms were not improved. Lumbar MRI was performed again and it showed findings of infective spondylitis. Salmonella D was identified on the abscess culture and so he was diagnosed as suffering from Salmonella spondylitis. After antibiotic treatment, his back pain was improved and the patient was able to walk.
脊柱沙门氏菌感染是一种罕见疾病，通常发生于已有镰状细胞贫血的患者，而在无镰状细胞贫血的患者中更为罕见。一名 61 岁男性患者因肾功能评估而住院，随后开始治疗其背痛。他的背痛大约在 2 个月前无明显诱因出现，最初的腰椎 MRI 仅显示椎间盘膨出。关于他的发热，诊断为可能为非典型性肺炎、丛林斑疹伤寒等，给予了多种抗生素治疗。转科时，白细胞和 hs-CRP 正常，ESR 升高。为他的背痛进行了诊断性硬膜外阻滞，但症状未改善。再次进行腰椎 MRI 检查，结果显示感染性脊柱炎的发现。脓肿培养出沙门氏菌 D，因此诊断为脊柱沙门氏菌感染。经抗生素治疗后，他的背痛改善，能够行走。
