Vertebral osteomyelitis due to salmonellae: report of two cases and review. 1998

E M Santos, and F L Sapico
Department of Medicine, University of Southern California, School of Medicine, Los Angeles, USA.

We describe two patients with salmonella vertebral osteomyelitis (SVO) and review 44 cases in the English-language literature. There was male predominance (distribution, 1.7:1), primarily lumbar involvement (72% of cases), and monomicrobial etiology. Fever (87% of cases) and back pain (92% of cases) were the dominant signs and symptoms, while diarrhea was present only in 16% of cases. Blood culture was positive in 48% of cases, and stool and urine cultures were positive in 36% and 23% of cases, respectively. The overall cure rate was 61%, and the relapse rate was 9%. Infected abdominal aortic aneurysms (IAAAs) were seen exclusively in the older age group (50 years of age or older), and all deaths occurred in these patients. The mean duration of antibiotic use for patients who were cured was 60 days. Although SVO is primarily treated medically, certain cases may require individualized surgical intervention. Patients with concomitant IAAAs may need resection with thorough debridement, extraanatomic bypass grafting, and prolonged antibiotic therapy.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010019 Osteomyelitis INFLAMMATION of the bone as a result of infection. It may be caused by a variety of infectious agents, especially pyogenic (PUS - producing) BACTERIA. Osteomyelitides
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012480 Salmonella Infections Infections with bacteria of the genus SALMONELLA. Salmonellosis,Infections, Salmonella,Infection, Salmonella,Salmonella Infection,Salmonelloses
D013131 Spine The spinal or vertebral column. Spinal Column,Vertebrae,Vertebral Column,Vertebra,Column, Spinal,Column, Vertebral,Columns, Spinal,Columns, Vertebral,Spinal Columns,Vertebral Columns
D017544 Aortic Aneurysm, Abdominal An abnormal balloon- or sac-like dilatation in the wall of the ABDOMINAL AORTA which gives rise to the visceral, the parietal, and the terminal (iliac) branches below the aortic hiatus at the diaphragm. Abdominal Aorta Aneurysm,Aneurysm, Abdominal Aorta,Abdominal Aortic Aneurysm,Aneurysm, Abdominal Aortic,Abdominal Aorta Aneurysms,Abdominal Aortic Aneurysms,Aorta Aneurysm, Abdominal

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