Acute Paraplegia Due to <i>Salmonella brandenburg</i>Spondylodiscitis: Case Report

作     者：Claudiu Popa Maguette Mbaye Mbaye Thioub Tanguy Riem Benjamin Daumas-Duport Nathalie Asseray Roger Robert 

作者机构：Department of Neurosurgery CHU Saint Etienne Saint Etienne France Department of Neurosurgery CHNU Fann Dakar Sénégal Department of Neurosurgery CHU Nantes Nantes France Department of Neuroradiology CHU Nantes Nantes France Department of Infectious Diseases CHU Nantes Nantes France 

出 版 物：《Open Journal of Modern Neurosurgery》 (现代神经外科学进展（英文）)

年 卷 期：2019年第9卷第3期

页      面：327-337页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Spondylodiscitis Spinal Epidural Abscess Paraplegia Salmonella brandenburg Post-Ingestion Immunocompetent 

摘      要：The authors present the case of a 48-year-old man admitted for acute onset of paraplegia in a patient suffering from backaches for 1 week. The rapidly progressive motor disturbances had been evolving for approximately 12 hours. The entire spinal MRI showed an epidural mass at T4-T6 associated with extensive lesions of spondylodiscitis and a T7-T8 vertebral body loss of height. A large six-level laminectomy was performed. A tumoral etiology couldn’t be entirely excluded intraoperatively so that no fusion has been done at that time. The pathological exam revealed acute inflammatory lesions with no argument in favor of a tumoral process. Bacteriological exam of the pathological specimen and stools cultures were positive for Salmonella brandenburg. An episode of gastroenteritis after the ingestion of a pizza has been evoked. The antibiotic medication was prescribed for 12 weeks. Postoperative evolution was favorable with a possible march between bars 6 weeks after. The authors emphasize the pseudo-tumoral presentation in an immunocompetent patient, the lack of complications and the post-ingestion mechanism.