Candida Parapsilosis Spondylodiscitis after Lumbar Discectomy.
- Author:
Kyungil CHO
1
;
Sun Ho LEE
;
Eun Sang KIM
;
Whan EOH
Author Information
1. Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sobotta72@hotmail.com
- Publication Type:Case Report
- Keywords:
Spondylodiscitis;
Candida;
Fungal infection;
Vertebra;
Osteomyelitis
- MeSH:
Aged;
Candida;
Discitis;
Diskectomy;
Epidural Abscess;
Female;
Fluconazole;
Humans;
Immunocompromised Host;
Inflammation;
Leg;
Magnetic Resonance Imaging;
Osteomyelitis;
Spine
- From:Journal of Korean Neurosurgical Society
2010;47(4):295-297
- CountryRepublic of Korea
- Language:English
-
Abstract:
Candida is a relatively rare cause of spinal infections that commonly affects immunocompromised patients. A 70-year-old woman, who underwent a lumbar discectomy on L5-S1 two months earlier, was admitted to our department complaining of persistent back and leg pain. Magnetic resonance imaging showed irregular enhancing mass lesion in L5-S1 intervertebral space, suggest of pyogenic discitis with epidural abscess. The surgery was performed via retroperitoneal approach and the infected material at L5-S1 intervertebral space was removed. The histological examination of the specimen revealed chronic inflammation involving the bone and soft tissue, and a culture of the excised material was positive for Candida parapsilosis. The patient received intravenous fluconazole for 4 weeks after surgery and oral fluconazole 400 mg/day for 3 months after surgery. The patient made a full recovery with no symptoms 6 months after surgery. We present a rare case of spondylodiscitis after a lumbar discectomy due to Candida parapsilosis and discuss treatment option with a review of the literatures.
