Vertebral osteomyelitis due to <i>Salmonella</i> Poona in a healthy adolescent female

Toofan, Yalda; Tarun, Samiksha; Bender, Jonathan; Auerbach, Sarah; Stewart, David A.; Watson, Michael

doi:10.1177/2050313x20969017

Cited by 3 publications

(4 citation statements)

References 15 publications

(32 reference statements)

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“…Other reports have described central nervous system salmonella abscess in a 12-month-old and 26-month-old following neurosurgical procedures [8,9]. There are various reports of salmonella osteomyelitis in teenagers and older children, who tend to have far more of the typical exposure and individual risk factors than our patient [5,[10][11][12][13][14][15][16][17].…”

Section: Discussionmentioning

confidence: 80%

A Rare Case of Salmonella Osteomyelitis in Immunocompetent Toddler Without Risk Factors

Daggett¹,

Heston²,

Anderson³

et al. 2022

Cureus

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Salmonella infections are common, though rarely cause disseminated or severe disease in immunocompetent children. We present a case of severe salmonella osteomyelitis and epidural abscess in a patient without significant risk factors. This patient presented over the course of multiple visits with nonspecific symptoms of fever, malaise, and eventual joint pain. As symptoms progressed, the workup was broadened to find the eventual source of infection.

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Section: Discussionmentioning

confidence: 80%

A Rare Case of Salmonella Osteomyelitis in Immunocompetent Toddler Without Risk Factors

Daggett¹,

Heston²,

Anderson³

et al. 2022

Cureus

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“…In 8/21 (38.09%) computed tomography (CT) of the affected region was performed, and the diagnosis of spondylodiscitis was established [ 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ]. An MRI of the affected region was performed in 13/21 of the cases reviewed (61.9%) [ 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…Cotrimoxazole and ampicillin were given in two cases (9.5%). Treatment was continued for an average of 9.61 weeks (95% CI, 6–18 weeks) [ 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 ].…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of the Diagnosis and Treatment of Non-Typhoid Salmonella Spondylodiscitis in Immunocompetent Children

et al. 2022

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The aim of this systematic review is to distinguish the clinical features of immunocompetent children with non-typhoid Salmonella spondylodiscitis and summarize the diagnosis, diagnostic tools, and treatment methods to guide clinicians. The review was conducted according to the preferred PRISMA guidelines. We conducted a literature search in the PubMed, Embase, and Cochrane Library databases. Article screening, data extraction, and study evaluation were performed by two independent reviewers. A total of 20 articles, published between 1977 and 2020, were selected, which included 21 patients with average age of 12.76 years (range, 2–18) without comorbidities; in total, 19% of the patients had positive blood cultures for non-typhoid Salmonella, and 80.9% underwent either CT-guided or open biopsy, which were positive for NTS. All infections were monomicrobial, and 11 different serotypes of non-typhoid Salmonella were identified. Analyzing the reviewed cases, 52.4% of the patients presented with fever, 90.5% had localized pain, and only 19% had gastroenteritis. The most common level of discitis was the lumbar region, especially the L4/L5 level. Primarily, third-generation cephalosporin was administered, and antibiotic treatment was given for an average of 9.6 weeks. Non-typhoid Salmonella spondylodiscitis is a rare clinical entity in healthy and immunocompetent children. The identification of the responsible organism is essential to guide antibiotic therapy and define the treatment duration. A significant limiting factor in this systematic review was the lack of published research articles and case series due to the rarity of the disease.

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“…Пацієнти з ослабленим імунітетом мають підвищений ризик зараження більш екзотичними бактеріальними збудниками, включаючи Brucella, або грибковим остеомієлітом, який частіше викликають Histoplasma, Aspergillus або Candida. Salmonellaрідкісні збудники остеомієліту хребта і частіше виявляються в пацієнтів із серпо по дібноклітинною анемією [45].…”

Section: клінічний випадокunclassified

Torticollis in a 7-year-old child: an alarming sign not to be turned away

Salokha¹,

Borys²

2021

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Acquired torticollis is not a separate disease rather a warning sign of an underlying disorder. The etiology of torticollis in children is quite wide. Hematogenous osteomyelitis of the first cervical vertebra (the atlas) is an extremely rare and potentially dangerous pathology. The aim is to acquaint physicians of different specialties with an extremely rare condition – acute hematogenous osteomyelitis of the atlas. Case Report. A case of osteomyelitis of the first cervical vertebra in a 7-year-old boy is presented. An important sign of the disease is torticollis. Conclusions. Hematogenous osteomyelitis of the atlas is an extremely rare and potentially dangerous pathology. Regardless of its incidence, it must be considered when examining a child with acquired wryneck. All the ENT specialists must possess the knowledge of this disease, as they are most likely the first doctors to see such a child. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: torticollis, osteomyelitis of the atlas, C1 osteomyelitis, vertebral osteomyelitis, children.

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Vertebral osteomyelitis due to Salmonella Poona in a healthy adolescent female

Cited by 3 publications

References 15 publications

A Rare Case of Salmonella Osteomyelitis in Immunocompetent Toddler Without Risk Factors

A Rare Case of Salmonella Osteomyelitis in Immunocompetent Toddler Without Risk Factors

A Systematic Review of the Diagnosis and Treatment of Non-Typhoid Salmonella Spondylodiscitis in Immunocompetent Children

Torticollis in a 7-year-old child: an alarming sign not to be turned away

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