Location of Repository

Espondilodiscite cervical espontânea causada por Salmonella typhi em paciente imunocompetente Immunocompetent patient with spontaneous cervical spondylodiscitis caused by Salmonella typhi

By Asdrubal Falavigna and Fernando Antonio Patriani Ferraz

Abstract

Relatamos um caso de espondilodiscite cervical espontânea por Salmonella typhi. Trata-se de um paciente de 52 anos, hígido previamente, que procurou o serviço de neurocirurgia com queixa de dor na coluna cervical e região escapular. A investigação radiológica com cintilografia óssea e ressonância magnética sugeriram processo inflamatório dos corpos vertebrais de C5-C6 e do disco vertebral interposto. Houve crescimento da Salmonella typhi na hemocultura e no material obtido pela biópsia com agulha de C5 e aumento dos títulos séricos para Salmonella typhi. O tratamento instituído foi imobilização externa com halo-colete e antibioticoterapia com ciprofloxacina. Realizou-se revisão da literatura sobre aspectos clínicos, diagnósticos e terapêuticos dessa entidade de incidência incomun, principalmente pelo fato de acometer paciente imunocompetente e se localizar na região cervical da coluna vertebral.<br>We report a case of spontaneous cervical spondylodiscitis caused by Salmonella typhi. A 52-year-old man presented in the neurosurgical service with complaints of pain in the cervical and scapular region. Cervical inflammatory disease was suggested by bone scintigraphy and magnetic resonance imaging. The diagnosis of Salmonella typhi spondylodiscitis was established by blood culture and culture of needle biopsy specimen taken from the C5 vertebra. The agglutinin titers for Salmonella were elevated. Intravenous ciprofloxacin therapy and external immobilization with a halo vest were instituted. A review of literature was performed evaluating the clinical, diagnostic and therapeutic aspects of this unusual pathology

Topics: espondilodiscite cervical, Salmonella typhi, cervical spondylodiscitis, Salmonella typhi, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571, Internal medicine, RC31-1245, Medicine, R, DOAJ:Neurology, DOAJ:Medicine (General), DOAJ:Health Sciences
Publisher: Academia Brasileira de Neurologia (ABNEURO)
Year: 2002
DOI identifier: 10.1590/S0004-282X2002000600029
OAI identifier: oai:doaj.org/article:94da120380ea4aee9fdfd2e3cba46b12
Journal:
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • https://doaj.org/toc/1678-4227 (external link)
  • https://doaj.org/toc/0004-282X (external link)
  • http://www.scielo.br/scielo.ph... (external link)
  • https://doaj.org/article/94da1... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.