Ann Orthop Musculoskelet Disord | Volume 2, Issue 2 | Case Report | Open Access

Salmonella Typhi Vertebral Osteomyelitis Misdiagnosed as Tuberculosis in Thoracic Spine: Case Report and Literature Review

Liu-Xue Du1,2, Jia-Ming Liu1, Ai-Fen Peng3, Shan-Hu Huang1 and Zhi-Li Liu1*

1Department of Orthopedic Surgery, The First Affiliated Hospital of Nanchang University, China
2Department of Orthopedic Surgery, Jiangxi Provincial People’s Hospital, China
3Department of Humanities, Jiangxi University of Traditional Chinese Medicine, China

*Correspondance to: Zhi-Li Liu 

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Abstract

Vertebral osteomyelitis caused by Salmonella Typhi is a rare disease, especially when it occurs in the thoracic spine. In this article, we reported a rare case of a 62-year-old male patient who had upper back pain after recurrent fever for one and a half months. He lost 8 kg of weight and the thoracic spine tenderness (T5-10) was presented according to physical examination. Combined with the CT and MRI, the patient was initially diagnosed as thoracic vertebral Tuberculosis (TB) and surgery was carried out for focus debridement by posterior approach. However, tissue and wound culture indicated that the infection was caused by Salmonella Typhi. After 3 weeks of intravenous moxifloxacin, the patient recovered and discharged without fever and back pain.

Keywords:

Osteomyelitis; Tuberculosis; Salmonella Typhi; Vertebrae

Citation:

Du L-X, Liu J-M, Peng A-F, Huang S-H, Liu Z-L. Salmonella Typhi Vertebral Osteomyelitis Misdiagnosed as Tuberculosis in Thoracic Spine: Case Report and Literature Review. Ann Orthop Musculoskelet Disord. 2018;1(3):1014.

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