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Case Report
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| Salmonella spondylitis in an immunocompetent non-sickle cell patient | ||||||
| Zaid B. Al Jebaje1, Andrew Zhao2, Mohammed Samannodi3, Mohammed Al-Sofiani4, Michael Hocko3 | ||||||
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1M.B.Ch.B., Department of Internal Medicine, University at Buffalo-Catholic Health System, Buffalo, New York, United States.
2MD, Department of Family Medicine Residency, Franciscan-Skemp Mayo Clinic Health System, La Crosse, Wisconsin, United States. 3MD, Department of Internal Medicine, University at Buffalo-Catholic Health System, Buffalo, New York, United States. 4MD, Department of Internal medicine, Division of Endocrinology, John Hopkins Medicine, Baltimore, Maryland. | ||||||
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| How to cite this article |
| Al Jebaje ZB, Zhao A, Samannodi M, Al-Sofiani M, Hocko M. Salmonella spondylitis in an immunocompetent non-sickle cell patient. Int J Case Rep Images 2017;8(3):187–190. |
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Abstract
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Introduction:
Osteomyelitis caused by Salmonella is rare, especially in immunocompetent patients, as it typically occurs in patients with sickle cell anemia, HIV, corticosteroid use, or any other conditions that can compromise the immune system. The objective of this report is to establish Salmonella as a potential causative agent in the differential diagnosis of osteomyelitis for clinicians.
Case Report: We report a 25-year-old male who does not have any history of sickle cell anemia, corticosteroid use, or HIV who presented with back pain and constitutional symptoms suggestive of an ongoing infection. Laboratory workup, X-ray, magnetic resonance imaging, and fluoroscopic biopsy of the affected area helped establish the diagnosis and guide treatment options. The condition of patient improved after extended course of antibiotics. Conclusion: Patients with Salmonella spondylitis typically present with back pain and fever. Initial diagnostic workup should include complete blood count (CBC), C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR) levels. X-ray can be used for initial imaging but MRI will better visualize the full extent of the infection while guided needle biopsy with cultures will distinguish the organism and its antimicrobial susceptibilities. Extended antibiotic coverage for 6–12 weeks is often needed and recommended. | |
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Keywords:
Immunocompetent, Osteomyelitis, Salmonella, Spondylitis
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Author Contributions
Zaid B. Al Jebaje – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Andrew Zhao – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Mohammed Sammanodi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Michael Hocko – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Zaid B. Al Jebaje et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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