title: Surgical strategy for spondylodiscitis due to Candida albicans in an immunocompromised host.
abstract: A 44-year-old woman receiving systemic chemotherapy for cerebellar medulloblastoma developed thoracolumbar spondylodiscitis due to Candida albicans associated with abscesses in the bilateral psoas muscles. As long-term medical therapy with fluconazole was not effective, radical removal of the affected lesions and anterior bone grafting were performed. Corpectomy of the infected vertebra with autologous bone grafting and removal of the psoas muscle were performed via the right transthoracic retroperitoneal approach. Additional posterior instrumentation was not used. Two years after the operation, the patient was doing well, and systemic chemotherapy for medulloblastoma has restarted. Corpectomy with radical resection of surrounding infectious tissues for C. albicans spondylodiscitis in an immunocompromised host should be performed when conservative medical treatment is not successful. Further instrumentation surgery might be necessary to prevent further deformity of the spine as the second surgery.
authors.affiliation: Department of Neurosurgery, Hamamatsu University School of Medicine, Shizuoka, Japan.
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Tokuyama
authors.forename: Shigeru
authors.initials: S
authors.lastname: Nishizawa
authors.forename: Naoki
authors.initials: N
authors.lastname: Yokota
authors.forename: Seiji
authors.initials: S
authors.lastname: Ohta
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Yokoyama
authors.forename: Hiroki
authors.initials: H
authors.lastname: Namba
mesh_terms: D000328:Adult; D002177:Candidiasis; D015299:Discitis / Q000382:microbiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D016867:Immunocompromised Host