[Candida albicans induced spondylodiscitis of the cervical spine of a polytraumatized patient].
With the increasing occurrence of predisposing factors, invasive candidiasis is being diagnosed more frequently. Based on a review of only a few previous reported cases, we describe and discuss the unusual case of candidal cervical spondylodiscitis in a 36 year old man who had sustained a polytrauma, complicated through a Candida albicans pneumonia. The main symptom was disabling neck pain. Clinical, laboratory and radiological findings were unspecific. The definitive diagnosis was determined by MRI imaging and biopsy. The early diagnosis and surgical treatment with a sufficient debridement and stabilisation of the affected segment combined with a prolonged antifungal therapy lead to good results.
Voigt
C
C
Klinik für Unfall- und Wiederherstellungschirurgie, Friederikenstift, Humboldtstrasse 5, 30169 Hannover, Deutschland. christine.voigt@friederikenstift.de
Lill
H
H
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D002574:Cervical Vertebrae / Q000473:pathology / Q000601:surgery; D003131:Combined Modality Therapy; D015299:Discitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D020802:Epidural Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D015725:Fluconazole / Q000627:therapeutic use; D005500:Follow-Up Studies; D019416:Head Movements / Q000502:physiology; D006801:Humans; D008172:Lung Diseases, Fungal / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D009104:Multiple Trauma / Q000150:complications* / Q000601:surgery; D011743:Pyrimidines / Q000627:therapeutic use; D011859:Radiography; D014230:Triazoles / Q000627:therapeutic use; D065819:Voriconazole
D000935:Antifungal Agents; D011743:Pyrimidines; D014230:Triazoles; D015725:Fluconazole; D065819:Voriconazole