Document Detail


Anterior decompression and fusion for Aspergillus osteomyelitis of the lumbar spine associated with paraparesis.
MedLine Citation:
PMID:  7899969     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
P Korovessis; M Repanti; T Katsardis; M Stamatakis
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  19     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1994 Dec 
Date Detail:
Created Date:  1995-04-27     Completed Date:  1995-04-27     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2715-8     Citation Subset:  IM    
Affiliation:
Orthopaedic Department, General Hospital Agios Andreas, Patras, Greece.
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MeSH Terms
Descriptor/Qualifier:
Aspergillosis / 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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