{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T07:01:17Z","timestamp":1771657277346,"version":"3.50.1"},"reference-count":7,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,9,20]],"date-time":"2018-09-20T00:00:00Z","timestamp":1537401600000},"content-version":"vor","delay-in-days":262,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:p>Salmonella vertebral discitis\/osteomyelitis is a rare manifestation of Salmonella infection. Here, we report a case of a 54\u2010year\u2010old Caucasian male who presented with five weeks of progressively worsening bilateral low back, buttock, and lower extremity pain following an 8\u2010foot fall onto concrete from a ladder. Initial workup following the fall included hip X\u2010ray and MRI of the lumbar spine and revealed only mild lumbar facet arthropathy and moderate left neural foraminal stenosis at L3\u2010L4 without any concomitant hip or spine fracture. The patient\u2019s pain continued to increase in severity over the next several weeks, and he was evaluated by multiple healthcare professionals with no discovered pathology. Approximately 5 weeks following the fall, repeat CT scan and MRI were conducted which then revealed extensive findings of discitis\/osteomyelitis at L5\u2013S1 as well as an epidural abscess resulting in severe narrowing of the central spinal canal. Patient underwent emergent decompression laminectomy and discectomy at L5\u2013S1 with evacuation of the epidural abscess. Intraoperative tissue and wound cultures revealed Salmonella enterica serovar Agbeni. The patient recovered well and was discharged on an eight\u2010week regimen of IV ceftriaxone. He has since recovered appropriately with no neurologic deficits. Important takeaways from this case include continuing to work up patients whose pain or condition is not consistent with radiographic findings and the importance of clinical intuition. This case also highlights the use of intraoperative cultures and sensitivities to correctly direct antibiotic management. Lastly, this report adds to the paucity of literature surrounding Salmonella Agbeni\u2010related discitis and epidural abscesses and makes the suggestion that traumatic incidents such as a fall may instigate these infections.<\/jats:p>","DOI":"10.1155\/2018\/1091932","type":"journal-article","created":{"date-parts":[[2018,9,20]],"date-time":"2018-09-20T19:30:26Z","timestamp":1537471826000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Diagnostic Quandary:\n                    <i>Salmonella<\/i>\n                    Agbeni Vertebral Osteomyelitis and Epidural Abscess"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3296-5582","authenticated-orcid":false,"given":"Ryan K.","family":"Dahlberg","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Elizabeth","family":"Lyvers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas K.","family":"Dahlberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9,20]]},"reference":[{"key":"e_1_2_5_1_2","first-page":"1","article-title":"On some of the sequels of typhoid fever","volume":"12","author":"Paget J.","year":"1876","journal-title":"St. Bartholomew\u2019s Hospital Report"},{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM195706132562402"},{"key":"e_1_2_5_3_2","unstructured":"Centers for Disease Control and Prevention Multistate outbreak ofSalmonellaAgbeni infections linked to pet turtles 2018 https:\/\/www.cdc.gov\/salmonella\/agbeni-08-17\/index.html."},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1086\/514668"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2010.03.001"},{"key":"e_1_2_5_6_2","volume-title":"Case of the month: vertebral osteomyelitis and psoas abscess with Acinetobacter baumanii: report of an unusual case","author":"Brabeck M. C.","year":"2011"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/6798157"}],"container-title":["Case Reports in Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crior\/2018\/1091932.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crior\/2018\/1091932.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2018\/1091932","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:28:42Z","timestamp":1762475322000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2018\/1091932"}},"subtitle":[],"editor":[{"given":"Elke R.","family":"Ahlmann","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.1155\/2018\/1091932"],"URL":"https:\/\/doi.org\/10.1155\/2018\/1091932","archive":["Portico"],"relation":{},"ISSN":["2090-6749","2090-6757"],"issn-type":[{"value":"2090-6749","type":"print"},{"value":"2090-6757","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1]]},"assertion":[{"value":"2018-06-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-09-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"1091932"}}