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KMID : 1001920100470040295
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Journal of Korean Neurosurgical Society
2010 Volume.47 No. 4 p.295 ~ p.297
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Candida Parapsilosis Spondylodiscitis after Lumbar Discectomy
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Cho Kyung-Il
Lee Sun-Ho
Kim Eun-Sang
Eoh Whan
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Abstract
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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.
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KEYWORD
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Spondylodiscitis, Candida, Fungal infection, Vertebra, Osteomyelitis
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