Pyogenic spondylitis and paravertebral abscess caused by Salmonella Saintpaul in an immunocompetent 13-year-old child: a case report
Abstract Background Salmonella spondylitis is an uncommon complication of Salmonella infection in immunocompetent children. To prevent treatment failure and neurological deficits, it needs prompt diagnosis and sufficient effort to identify the causative organism. There are some options to identify t...
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| Format: | Article |
| Language: | English |
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BMC
2018-02-01
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| Series: | BMC Pediatrics |
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| Online Access: | http://link.springer.com/article/10.1186/s12887-018-1010-5 |
| _version_ | 1819055760034758656 |
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| author | Shota Myojin Naohiro Kamiyoshi Masaaki Kugo |
| author_facet | Shota Myojin Naohiro Kamiyoshi Masaaki Kugo |
| author_sort | Shota Myojin |
| collection | DOAJ |
| description | Abstract Background Salmonella spondylitis is an uncommon complication of Salmonella infection in immunocompetent children. To prevent treatment failure and neurological deficits, it needs prompt diagnosis and sufficient effort to identify the causative organism. There are some options to identify the causative organism such as Computed Tomography (CT) guided biopsy or surgical debridement, however when to perform these invasive interventions remains controversial. Case presentation A 13-year-old boy presented with occasional high fever and lower back pain. He was diagnosed with spondylitis of the L4–5 vertebral bodies and paravertebral abscess. Initial blood cultures were negative, therefore empirical antibiotic treatment was started. He responded well to conservative management, and was discharged after clinical improvement. However, he was re-hospitalized 2 weeks after discharge, and surgical debridement was performed which led to the detection of Salmonella Saintpaul as the causative pathogen. It was revealed that the possible source of infection was consumption of raw poultry eggs, or contact with poultry. Definitive antibiotic therapy was started. He was discharged with good recovery after a 6-week hospitalization. Conclusions This is the very first case report of pyogenic spondylitis caused by Salmonella Saintpaul. Salmonella should be considered as a causative pathogen of pyogenic spondylitis in immunocompetent children. Identifying the causative organism is essential to prevent treatment failure, and a high index of suspicion is needed for prompt diagnosis especially when blood cultures are negative. Invasive interventions such as CT-guided biopsy should be considered even if the clinical course seems to be uncomplicated. |
| first_indexed | 2024-12-21T13:12:38Z |
| format | Article |
| id | doaj.art-d060b1180310425988a3bffe9c904db1 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-21T13:12:38Z |
| publishDate | 2018-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-d060b1180310425988a3bffe9c904db12022-12-21T19:02:50ZengBMCBMC Pediatrics1471-24312018-02-011811610.1186/s12887-018-1010-5Pyogenic spondylitis and paravertebral abscess caused by Salmonella Saintpaul in an immunocompetent 13-year-old child: a case reportShota Myojin0Naohiro Kamiyoshi1Masaaki Kugo2Department of Pediatrics, Japanese Red Cross Society Himeji HospitalDepartment of Pediatrics, Japanese Red Cross Society Himeji HospitalDepartment of Pediatrics, Japanese Red Cross Society Himeji HospitalAbstract Background Salmonella spondylitis is an uncommon complication of Salmonella infection in immunocompetent children. To prevent treatment failure and neurological deficits, it needs prompt diagnosis and sufficient effort to identify the causative organism. There are some options to identify the causative organism such as Computed Tomography (CT) guided biopsy or surgical debridement, however when to perform these invasive interventions remains controversial. Case presentation A 13-year-old boy presented with occasional high fever and lower back pain. He was diagnosed with spondylitis of the L4–5 vertebral bodies and paravertebral abscess. Initial blood cultures were negative, therefore empirical antibiotic treatment was started. He responded well to conservative management, and was discharged after clinical improvement. However, he was re-hospitalized 2 weeks after discharge, and surgical debridement was performed which led to the detection of Salmonella Saintpaul as the causative pathogen. It was revealed that the possible source of infection was consumption of raw poultry eggs, or contact with poultry. Definitive antibiotic therapy was started. He was discharged with good recovery after a 6-week hospitalization. Conclusions This is the very first case report of pyogenic spondylitis caused by Salmonella Saintpaul. Salmonella should be considered as a causative pathogen of pyogenic spondylitis in immunocompetent children. Identifying the causative organism is essential to prevent treatment failure, and a high index of suspicion is needed for prompt diagnosis especially when blood cultures are negative. Invasive interventions such as CT-guided biopsy should be considered even if the clinical course seems to be uncomplicated.http://link.springer.com/article/10.1186/s12887-018-1010-5Salmonella SaintpaulPyogenic spondylitisParavertebral abscessPsoas abscessCT-guided biopsy |
| spellingShingle | Shota Myojin Naohiro Kamiyoshi Masaaki Kugo Pyogenic spondylitis and paravertebral abscess caused by Salmonella Saintpaul in an immunocompetent 13-year-old child: a case report BMC Pediatrics Salmonella Saintpaul Pyogenic spondylitis Paravertebral abscess Psoas abscess CT-guided biopsy |
| title | Pyogenic spondylitis and paravertebral abscess caused by Salmonella Saintpaul in an immunocompetent 13-year-old child: a case report |
| title_full | Pyogenic spondylitis and paravertebral abscess caused by Salmonella Saintpaul in an immunocompetent 13-year-old child: a case report |
| title_fullStr | Pyogenic spondylitis and paravertebral abscess caused by Salmonella Saintpaul in an immunocompetent 13-year-old child: a case report |
| title_full_unstemmed | Pyogenic spondylitis and paravertebral abscess caused by Salmonella Saintpaul in an immunocompetent 13-year-old child: a case report |
| title_short | Pyogenic spondylitis and paravertebral abscess caused by Salmonella Saintpaul in an immunocompetent 13-year-old child: a case report |
| title_sort | pyogenic spondylitis and paravertebral abscess caused by salmonella saintpaul in an immunocompetent 13 year old child a case report |
| topic | Salmonella Saintpaul Pyogenic spondylitis Paravertebral abscess Psoas abscess CT-guided biopsy |
| url | http://link.springer.com/article/10.1186/s12887-018-1010-5 |
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