Lesson of the month
Salmonella arteritis: an unusual cause of low back pain
D Pyne, R Mootoo, A Bhanji, A FarrowHomerton Hospital
NHS Trust, Homerton Row, London E9 6SR, UK
Correspondence to: Dr R Mootoo, Rheumatology Department, Homerton Hospital, Homerton Row, London, E9 6SR, UK
Accepted for publication 20 June
2001
| The first 150 words of the full text of this article appear below. |
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Introduction |
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Salmonella arteritis is a rare condition, first reported in 1948.1 Salmonella typhimurium is responsible for most cases and here we report a case of S typhimurium septicaemia with subsequent arteritis and aneurysm formation.
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Case report |
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A 70 year old Afro-Caribbean man, previously fit and well, was admitted to hospital with a two month history of malaise, anorexia, weight loss of 6.5 kg, constipation, low lumbar back pain, and frequency of micturition. The back pain was a dull, constant ache, present day and night, without radiation. He was not receiving regular drug treatment. He smoked 20 cigarettes a day.
On initial examination he was pyrexial at 38°C, pulse rate 100 beats/min, normotensive, and dehydrated. Cardiovascular and respiratory
examination were normal. There was suprapubic tenderness but no
abdominal masses or organomegaly. The lower lumbar spine was tender and
range of movement was limited in all directions as a result of pain.
Investigations showed haemoglobin 102 g/l, mean cell volume
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This article has been cited by other articles:
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Richards, A J, Mootoo, R
(2002). Salmonella arteritis. Ann Rheum Dis
61: 477-477
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