Salmonella Typhi Vertebral Osteomyelitis and Epidural Abscess

Abstract EN

Salmonella vertebral osteomyelitis is an uncommon complication of Salmonella infection.

We report a case of a 57-year-old transgender male who presented with lower back pain for a period of one month following a fall.

Physical examination only revealed tenderness over the lower back with no neurological deficits.

MRI of the thoracic and lumbar spine revealed a spondylodiscitis at T10-T11 and T12-L1 and right posterior epidural collection at the T9-T10 level.

He underwent decompression laminectomy with segmental instrumentation and fusion of T8 to L3 vertebrae.

Intraoperatively, he was found to have acute-on-chronic osteomyelitis in T10 and T11, epidural abscess, and discitis in T12-L1.

Tissue and wound culture grew Salmonella Typhi and with antibiotics susceptibility guidance he was treated with intravenous ceftriaxone for a period of six weeks.

He recovered well with no neurological deficits.