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KMID : 1024720190090020053
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Geriatric Rehabilitation
2019 Volume.9 No. 2 p.53 ~ p.56
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Infective Spondylitis with Paraplegia Caused by Salmonella Typhi: A Case Report
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Lee Won-Chul
Song Jae-Min
Hong Mi-Jin
Park Jong-Bum
Lee Yung-Jin
Kim Hyun-Woo
Kang Sung-Hui
Moon Ja-Young
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Abstract
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Spondylitis caused by typhoid fever is known to be an extremely rare in persons with normal immune systems. We report on a case of infective spondylitis caused by salmonella typhi infection contracted after traveling to Southeast Asia in a healthy adult. A 66-year-old woman visited our neurosurgery department for sustained back pain. Otherwise from some degenerative changes, the initial simple films were negative. But on further follow up, simple films revealed suspicious findings of endplate erosions on T10-11 level (after 2 months from the first visit). Further inquiry revealed that the patient had travelled to Laos 4 months previously, and had gastroenteritis manifested by diarrhea and abdominal pain 7 days after returning to home. Magnetic Resonance Imaging and blood culture confirmed infective spondylitis caused by Salmonella Typhi. In spite of 2 weeks of appropriate antibiotic therapy, paraplegia developed compelling a decompressive laminectomy on the T9-11 level.
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KEYWORD
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Spondylitis, Paraplegia, Salmonella
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Listed journal information
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