Relvas-Silva M, Pinho AR, Vital L, Leão B, Sousa AN, Carvalho AC, Veludo V. Azole-resistant Candida albicans Spondylodiscitis After Bariatric Surgery: A Case Report.
JBJS Case Connect 2020;
10:e1900618. [PMID:
32773714 DOI:
10.2106/jbjs.cc.19.00618]
[Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
CASE
We present a case of azole and partial caspofungin-resistant Candida albicans spondylodiscitis, after bariatric surgery with bowel perforation. Treatment included debridement and several months of anidulafungin, complemented with antibacterial therapy because of relapse for bacterial superinfection. After treatment, the infection did not recur clinically or radiologically during one and half years follow-up.
CONCLUSION
Although C. albicans spondylodiscitis is rare, fungi should be suspected as a causative agent. Adequate history, imaging and laboratory testing, and medical and surgical treatment should be performed to successfully eradicate the infection and resolve potential neurological deficits.
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