Salmonella vertebral osteomyelitis with sepsis in healthy adult

Jung Min Kim,; Yeon Hee Park,; Dongho Kim,; Myung Joon Park,; Heui June Ahn,; Baek-Yeol Ryoo,; Sung Hyun Yang,

Korean J Med > Volume 69(3); 2005 > Article

Original Article

The Korean Journal of Medicine 2005;69(3):1003-1008.

Salmonella vertebral osteomyelitis with sepsis in healthy adult

Jung Min Kim, Yeon Hee Park, Dongho Kim, Myung Joon Park, Heui June Ahn, Baek-Yeol Ryoo, Sung Hyun Yang

Department of Medicine, Sungkyunkwan University School of Medicine

증례 : 면역 기능이 정상인 성인에서의 패혈증으로 발현한 살모넬라 척추 골수염

김정민&#;박연희&#;김동호&#;박명준&#;안희준&#;류백렬&#;양성현, Yeon Hee Park, Dongho Kim, Myung Joon Park, Heui June Ahn, Baek-Yeol Ryoo, Sung Hyun Yang

Abstract

Salmonella rarely causes osteomyelitis and the incidence is less than 1 percent. Immunocompromised state, sickle cell anemia and lymphoma are known as the predisposing factor of salmonella osteomyelitis. We report a case of the salmonella osteomyelitis patient who have no predisposing factors and previously is healthy. Fifty seven years old man visited our hospital with the complaints for the back pain and respiratory distress. He had neither medical history of typhoid fever nor gastrointestinal symptoms. He had fever, respiratory failure, sepsis, DIC and hepatitis. We could detect the osteomyelitis in thoracic and lumbar vertebras and the abscess of epidura, right buttock and psoas muscle by L-spine and abdomen scan. So, the patient was given intravenous antibiotics. Salmonella group D was grown in the culture of blood, urine and bone marrow aspiration. After the patient was stabilized, we had successfully treatment with surgical drainage.(Korean J Med 69:S1003-S1008, 2005)

Key Words: Salmonella vertebral osteomyelitis, Sepsis, Psoas abscess, Buttock abscess