| Fungal postoperative spondylodiscitis due to Scedosporium prolificans. | |
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MedLine Citation:
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PMID: 19447683 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND CONTEXT: Postoperative fungal spondylodiscitis is a rare infectious disease. PURPOSE: We report the first case of postoperative spondylodiscitis because of Scedosporium prolificans and review postoperative vertebral infection caused by fungi. STUDY DESIGN/SETTING: Medline search. METHODS: Case report and literature review. RESULTS: On reviewing the cases of postoperative fungal spondylodiscitis reported so far in the literature, we found eight were caused by mold, and five by yeast. Clinically, the disease presents similar to postoperative vertebral osteomyelitis caused by bacteria, and a high clinical index of suspicion may be required to perform appropriate cultures to establish a diagnosis. Our review revealed a significant number of cases that were cured after surgical debridement and/or antifungal therapy. CONCLUSIONS: On the basis of this limited assessment, it appears that the clinical course and prognosis of postoperative fungal spondylodiscitis is similar to that reported for postoperative pyogenic spondylodiscitis. |
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Authors:
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Carolina Garcia-Vidal; Carmen Cabellos; Josefina Ayats; Frederic Font; Enrique Ferran; Pedro Fernandez-Viladrich |
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Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2009-05-17 |
Journal Detail:
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Title: The spine journal : official journal of the North American Spine Society Volume: 9 ISSN: 1878-1632 ISO Abbreviation: - Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-08-24 Completed Date: 2009-11-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101130732 Medline TA: Spine J Country: United States |
Other Details:
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Languages: eng Pagination: e1-7 Citation Subset: IM |
Affiliation:
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Infectious Disease Service, IDIBELL-Hospital Universitary de Bellvitge, University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain. carolgv75@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Bacterial Agents
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therapeutic use Antifungal Agents / therapeutic use Arthrodesis Debridement Discitis / microbiology*, pathology, surgery Female Humans Intervertebral Disk Displacement / surgery Magnetic Resonance Imaging Middle Aged Mycoses / etiology, microbiology*, pathology Orthopedic Procedures / adverse effects Postoperative Complications / microbiology* Pyrimidines / therapeutic use Scedosporium* Triazoles / therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 0/Antifungal Agents; 0/Pyrimidines; 0/Triazoles; 0/voriconazole |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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