Lumbar Pathological Fracture Due to Salmonella Osteomyelitis Mimics Compression Fracture

Authors

Ming-Fong Tsai
Zong-Jing Wang
I-Chiun Lu
Chi-Hung Chiu

Translated Title

沙門氏菌骨髓炎造成腰椎病理性骨折以壓迫性骨折表現

Abstract

We describe a patient with Salmonella vertebral osteomyelitis who presented with severe low back pain. An initial diagnosis of compression fracture was based on clinical symptoms and signs, as well as imaging studies. During hospitalization, the patient developed a fever. A repeat MRI, positive blood cultures, and abscess culture results obtained during an operative procedure confirmed the diagnosis of Salmonella vertebral osteomyelitis. Salmonella vertebral osteomyelitis is rare, and its clinical presentation may mimic other common diseases such as compression fracture. This case illustration suggests that in patients with rapidly progressive low back pain, fever, and poor response to treatment, vertebral osteomyelitis should be considered. Surgical debridement with appropriate antibiotics provided an excellent outcome.

Language

English

DOI Link

https://doi.org/10.6315/2004.32(4)05

First Page

203

Last Page

208

Recommended Citation

Tsai, Ming-Fong; Wang, Zong-Jing; Lu, I-Chiun; and Chiu, Chi-Hung (2004) "Lumbar Pathological Fracture Due to Salmonella Osteomyelitis Mimics Compression Fracture," Rehabilitation Practice and Science: Vol. 32: Iss. 4, Article 5.
DOI: https://doi.org/10.6315/2004.32(4)05
Available at: https://rps.researchcommons.org/journal/vol32/iss4/5