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Cervical Bone Graft Candida albicans Osteomyelitis: Management Strategies for an Uncommon Infection
Joint Authors
Brembilla, Carlo
Lanterna, Luigi Andrea
Risso, Andrea
Bonaldi, Giuseppe
Gritti, Paolo
Resmini, Bruno
Viscone, Andrea
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-09-10
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Candida osteomyelitis in the current literature is an emerging infection.
The factors contributing to its emergence include a growing population of immunosuppressed patients, invasive surgeries, broad-spectrum antibiotics, injection drug users, and alcohol abuse.
The diagnosis requires a high degree of suspicion.
The insidious progression of infection and the nonspecificity of laboratory and radiologic findings may contribute to a delay in diagnosis.
The current case concerns a 27-year-old man with a spinal cord injury who, after undergoing anterior cervical fixation and fusion surgery, developed postoperative systemic bacterial infection and required long-term antibiotic therapy.
After six months, a CT scan demonstrated an almost complete anterior dislocation of the implants caused by massive bone destruction and reabsorption in Candida albicans infection.
The patient underwent a second intervention consisting firstly of a posterior approach with C4–C7 fixation and fusion, followed by a second anterior approach with a corpectomy of C5 and C6, a tricortical bone grafting from the iliac crest, and C4–C7 plating.
The antifungal therapy with fluconazole was effective without surgical debridement of the bone graft, despite the fact that signs of the bone graft being infected were seen from the first cervical CT scans carried out after one month.
American Psychological Association (APA)
Brembilla, Carlo& Lanterna, Luigi Andrea& Risso, Andrea& Bonaldi, Giuseppe& Gritti, Paolo& Resmini, Bruno…[et al.]. 2014. Cervical Bone Graft Candida albicans Osteomyelitis: Management Strategies for an Uncommon Infection. Case Reports in Orthopedics،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1034895
Modern Language Association (MLA)
Brembilla, Carlo…[et al.]. Cervical Bone Graft Candida albicans Osteomyelitis: Management Strategies for an Uncommon Infection. Case Reports in Orthopedics No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-1034895
American Medical Association (AMA)
Brembilla, Carlo& Lanterna, Luigi Andrea& Risso, Andrea& Bonaldi, Giuseppe& Gritti, Paolo& Resmini, Bruno…[et al.]. Cervical Bone Graft Candida albicans Osteomyelitis: Management Strategies for an Uncommon Infection. Case Reports in Orthopedics. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1034895
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034895