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KMID : 0359819770060010247
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Journal of Korean Neurosurgical Society
1977 Volume.6 No. 1 p.247 ~ p.251
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A Case of Salmonella Osteomyelitis in Lumbar Spine
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Abstract
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Since Maisonneuve mentioned osteomyelitis complicated by typhoid fever for the first, time in 1835, numerous investigators had reported salmonella osteomyelitis. But these are very rare in its incidence; only 0.82% ,of patients with typhoid fever and. 0.21 with paratyphoid infections have skeletal involvement.
The authors recently experienced a case of salmonella osteomyelitis In lumbar spine respectively caused by salmonella typhi D group.
A 48 year-old female was admitted to our Dept. of Neurosurgery with 4 months history of severe lumbago. On hospitalization his temperature raised upto 39°C once and widal test showed salmonella typhosa OH 640X. Lumbar spine X-ray films demonstrated irregular bony destruction of L2 and L3 with mild degree of narrowing of intervertebral space of L2-3. Pus evacuation and currettage of involved vertebrae surgically were performed.
Salmonella osteomyelitis involving intervertebral space was confirmed by culture of pus obtained from pathologic lesion and by biochemical test. Satisfactory result is obtained by surgical and antibiotic therapy.
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