Department of Orthopaedic, Hospital Sultan Ismail, Johor Bharu, Malaysia.
Orthopaedic Department, Hospital Queen Elizabeth, Kota Kinabalu, Malaysia.
BMJ Case Rep. 2023 Dec 21;16(12):e255033. doi: 10.1136/bcr-2023-255033.
Spinal infection comprises pyogenic and non-pyogenic spondylodiscitis. This condition may manifest with non-specific clinical symptoms, elevated infective parameters and imaging findings that are difficult to distinguish. The cornerstone of a definitive diagnosis and subsequent successful treatment lies in tissue analysis through culture and histopathological studies. In this context, we present a case of Salmonella pyogenic spondylodiscitis affecting the C5/C6 vertebrae, complicated by Salmonella bacteraemia and characterised by mechanical neck pain that curtails daily activities and overall functioning, although without neurological deficits. The uniqueness of this case stems from its occurrence in an immunocompetent individual from a non-endemic area, with no identifiable sources of Salmonella infection or preceding gastrointestinal symptoms.
脊柱感染包括化脓性和非化脓性脊椎炎。这种情况可能表现为非特异性临床症状、感染参数升高和影像学发现,难以区分。明确诊断和随后成功治疗的基础在于通过培养和组织病理学研究进行组织分析。在这种情况下,我们提出了一个化脓性沙门氏菌脊椎炎影响 C5/C6 椎体的病例,伴有沙门氏菌菌血症,表现为机械性颈部疼痛,限制了日常活动和整体功能,尽管没有神经功能缺损。这种情况的独特之处在于它发生在来自非流行地区的免疫功能正常的个体中,没有可识别的沙门氏菌感染源或先前的胃肠道症状。