Vertebral osteomyelitis due to Salmonella Poona in a healthy adolescent female

SAGE Open Medical Case Reports
Yalda ToofanMichael E Watson

Abstract

We present a case of vertebral osteomyelitis in a previously healthy, adolescent Caucasian female athlete. After months of lower back pain, spinal imaging demonstrated phlegmon and suspected osteomyelitis of the L4 vertebral body. A bone biopsy was obtained, and microbiologic cultures yielded pure growth of Salmonella enterica subsp. enterica serovar Poona (S. Poona), a member of the nontyphoid Salmonella group associated with food-borne gastroenteritis in the United States. This case represents the first reported association of S. Poona with osteomyelitis and is interesting in that the infection developed in a patient without traditional risk factors for invasive Salmonella disease (i.e. sickle cell disease). This case highlights the importance of keeping a broad differential diagnosis for lower back pain and emphasizes the value of obtaining specimens for microbiologic culture to aid in diagnosing non-traditional and potentially emerging bacterial pathogens.

References

Jul 1, 1983·The Journal of Infection·J K Onwubalili
Jun 2, 2000·Pediatrics·M FernandezC J Baker
Jul 28, 2004·Lancet·Daniel P Lew, Francis A Waldvogel
Mar 20, 2010·The New England Journal of Medicine·Werner Zimmerli
Feb 26, 2014·The Physician and Sportsmedicine·Alysha J TaxterPamela F Weiss
Aug 1, 2015·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Elie F Berbari Infectious Diseases Society of America
Feb 14, 2016·British Medical Bulletin·Emma K Nickerson, Rohitashwa Sinha
Jul 14, 2016·Journal of Orthopaedics·Rahul Tyagi
Nov 9, 2016·Journal of Orthopaedics·Mitchell C BirtJinxi Wang
Nov 15, 2017·Clinical Spine Surgery : a Spine Publication·Kimona IssaArash Emami
Sep 13, 2019·Epidemiology and Infection·M LaughlinUNKNOWN Outbreak Investigation Team
Sep 20, 2019·Internal Medicine·Kazuaki FukushimaHidemasa Izumiya

❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray
ESR
biopsy

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.

Blood And Marrow Transplantation

The use of hematopoietic stem cell transplantation or blood and marrow transplantation (bmt) is on the increase worldwide. BMT is used to replace damaged or destroyed bone marrow with healthy bone marrow stem cells. Here is the latest research on bone and marrow transplantation.

Related Papers

Canada Diseases Weekly Report = Rapport Hebdomadaire Des Maladies Au Canada
C WhalenD Vugia
Indian Medical Gazette
A F Hamilton
The Veterinary Record
M CorkeN Edington
Journal of the Indian Medical Association
M J JoshiG G Purohit
© 2021 Meta ULC. All rights reserved