Abstract 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 highlights the diagnostic challenges of metastatic Salmonella discitis, the limitations of reporting early imaging due to lack of clinical information, non‑contrast study and non‑focused whole spine request, the importance of integrating travel history, evolving symptoms, and targeted investigations.
DR et al. (Sat,) studied this question.