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Case Report | Open Access

Published on: 13 Feb 2026

Article ID: wjid.2026.b1301

Metastatic Salmonella Thoracic Discitis in a 52‑Year‑Old Woman Following Febrile Diarrheal Illness and Mediastinal Lymphadenitis: A Complex Diagnostic Journey Across Two Continents
Govani DR 1 Mehta AR 2 Midha PK 3 Govani ND 1 Panchasara NG 1 Patel R 1 Patel RV* 1

A 52‑year‑old woman developed a febrile diarrhoeal illness during a pilgrimage in India, requiring intravenous ceftriaxone. She later experienced persistent dry cough and mediastinal lymphadenitis. Two months after returning to the UK, she developed sudden severe thoracic pain with systemic symptoms. Early investigations and non‑contrast MRI were non‑diagnostic. A focused contrast‑enhanced MRI revealed destructive T8–T9 discitis. CT‑guided biopsy confirmed Salmonella typhi. This case…

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