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KMID : 1148120200100010028
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Journal of Advanced Spine Surgery
2020 Volume.10 No. 1 p.28 ~ p.32
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Surgical Site Infection After a Lumbar Discectomy from Aspergillus
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Lee Jung-Soo
Ahn Dong-Ki
Shin Won-Shik
Jang Sung-Jun
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Abstract
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Study Design: Case report.
Objectives: to report a surgical site infection from Aspergillus after a lumbar discectomy. Aspergillus is ubiquitous fungus. People with normal immunity are usually not infected by it, however, surgical site infection from it often developed even in normal population.
Materials and Methods: The diagnostic and therapeutic experience of 55-year-old male patient who underwent L45 discectomy who had surgical site infection from Aspergillus was reviewed.
Results: He had 4 times surgical treatment and empirical antibiotic therapy due to progressive extension of infection without microbiologic confirmation. Aspergillus flavus was identified at 5th operation and he was cured by adding an anti-fungal agent.
Conclusions: An Aspergillus infection after an operation can be developed even in normal immunity population. If a surgical site infection patient without fever and draining sinus does not improve by conventional treatment, Aspergillus infection should be considered.
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KEYWORD
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Aspergillus, Spondylodiscitis, Surgical site infection
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