Author(s)

Claudiu Popa¹, Maguette Mbaye^2*, Mbaye Thioub², Tanguy Riem³, Benjamin Daumas-Duport⁴, Nathalie Asseray⁵, Roger Robert³

¹Department of Neurosurgery, CHU Saint Etienne, Saint Etienne, France.
²Department of Neurosurgery, CHNU Fann, Dakar, Sénégal.
³Department of Neurosurgery, CHU Nantes, Nantes, France.
⁴Department of Neuroradiology, CHU Nantes, Nantes, France.
⁵Department of Infectious Diseases, CHU Nantes, Nantes, France.

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.

Spondylodiscitis, Spinal Epidural Abscess, Paraplegia, Salmonella brandenburg, Post-Ingestion, Immunocompetent

Popa, C. , Mbaye, M. , Thioub, M. , Riem, T. , Daumas-Duport, B. , Asseray, N. and Robert, R. (2019) Acute Paraplegia Due to Salmonella brandenburg Spondylodiscitis: Case Report. Open Journal of Modern Neurosurgery, 9, 327-337. doi: 10.4236/ojmn.2019.93031.