| Anterior decompression and fusion for Aspergillus osteomyelitis of the lumbar spine associated with paraparesis. | |
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MedLine Citation:
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PMID: 7899969 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY DESIGN: A very rare case of Aspergillus fumigatus osteomyelitis of the spine is described. The differential diagnosis, medical and operative treatment, and follow-up evaluation are reported. OBJECTIVES: To increase knowledge about the pathogenesis and treatment of vertebral osteomyelitis resulting from Aspergillus and to emphasize that such cases still exist. SUMMARY OF BACKGROUND DATA: Vertebral osteomyelitis from Aspergillus species is an infrequently described disease in Europe and only few cases have been previously reported. METHODS: A 48-year-old woman with Aspergillus fumigatus spondylitis in the lumbar spine and tuberculosis-lung infection and concomitant debilitating systemic disease was afflicted with incomplete paraplegia and underwent successful combined operative and medical treatment. RESULTS AND CONCLUSIONS: Early anterior decompression with spinal fusion, combined with Amphotericin B therapy, was crucial in bringing about complete neurologic recovery and maintaining the sagittal lumbar profile. Excellent clinical and radiologic results were shown in the 42-month follow-up period. |
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Authors:
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P Korovessis; M Repanti; T Katsardis; M Stamatakis |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Spine Volume: 19 ISSN: 0362-2436 ISO Abbreviation: Spine Publication Date: 1994 Dec |
Date Detail:
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Created Date: 1995-04-27 Completed Date: 1995-04-27 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 2715-8 Citation Subset: IM |
Affiliation:
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Orthopaedic Department, General Hospital Agios Andreas, Patras, Greece. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aspergillosis
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complications,
surgery* Aspergillus fumigatus* Female Humans Lumbar Vertebrae / radiography, surgery* Middle Aged Osteomyelitis / microbiology, surgery* Spinal Fusion* Tuberculosis, Pulmonary / complications |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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