Typhoid Spine

Typhoid osteomyelitis of the lumbar spine.

A 25-year-old Nepali man presented with a 20-day history of fever associated with a lower backache. Physical examination found tenderness over the lower lumbar vertebrae. Magnetic resonance imaging following intravenous contrast injection showed enhancement of the L4 and L5 vertebrae, particularly pronounced around the intervening disc, and areas of endplate erosion. Extra-vertebral enhancement...

The conflict of Osler's concept of "typhoid spine".

© 2011 Canadian Medical Association or its licensors CMAJ, April 19, 2011, 183(7) 773 The Canadian clinician William Osler (1849–1919) wrote the article on “typhoid spine” during the last year of his life while Regius Professor of Medicine at Oxford University. This commentary looks at Osler’s view of the psychogenic cause of ty phoid spine. Typhoid was a common disease in the late 19th century...

Typhoid Spine in a Nigerian with Sickle Haemoglobin.

CASE REPORT A Yoruba schoolboy of sixteen was first seen in April 1962, having suffered from fever and pain ill the low back and the left hip for three weeks. He was thin but did not look ill. He was able to stand unaided, but his back had lost the normal lumbar curve and was held rigid. Percussion of the lumbo-sacral area caused pain and the erector spinae muscles were tender. Three weeks late...

Typhoid osteomyelitis of the spine is not "extremely rare".

I would like to draw the authors’ attention to the fact that though typhoid osteomyelitis of the spine is undoubtedly an uncommon condition, it is perhaps not as “extremely rare” as they believe it to be when they state that “only four cases have been reported in the literature”. We draw their attention to an article by Santos and Sapico2 who reviewed 44 cases and reported two of their own case...

Typhoid Fever and Typhoid Carriers