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KMID : 0882420050690001003
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Korean Journal of Medicine
2005 Volume.69 No. 0 p.1003 ~ p.1008
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Salmonella vertebral osteomyelitis with sepsis in healthy adult
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Kim Jung-Min
Park Yeon-Hee
Kim Dong-Ho
Park Myung-Joon
Ahn Heui-June
Ryoo Baek-Yeol
Yang Sung-Hyun
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Abstract
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Salmonella rarely causes osteomyelitis and the incidence is less than 1 percent. Immunocompromised state, sickle cell anemia and lymphoma are known as the predisposing factor of salmonella osteomyelitis. We report a case of the salmonella osteomyelitis patient who have no predisposing factors and previously is healthy. Fifty seven years old man visited our hospital with the complaints for the back pain and respiratory distress. He had neither medical history of typhoid
fever nor gastrointestinal symptoms. He had fever, respiratory failure, sepsis, DIC and hepatitis. We could detect the osteomyelitis in thoracic and lumbar vertebras and the abscess of epidura, right buttock and psoas muscle by L-spine and abdomen scan. So, the patient was given intravenous antibiotics. Salmonella group D was grown in the culture of blood, urine and bone marrow aspiration. After the patient was stabilized, we had successfully treatment with surgical drainage.(Korean J Med 69:S1003-S1008, 2005)
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KEYWORD
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Salmonella vertebral osteomyelitis, Sepsis, Psoas abscess, Buttock abscess
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