Candida osteo-chondromyelitis complicating thoraco-abdominal esophageal surgery.
BACKGROUND
Candida albicans osteo-costochondromyelitis is a rare condition. Such pathology after esophagectomy has not been reported.


METHODS
Report of four cases and review of pertinent English-language literature.


RESULTS
Four patients underwent esophageal surgery via a left thoraco-abdominal approach between June, 1999 and March, 2000. After complicated post-operative courses, Candida osteomyelitis of the costochondral margin presented initially as a cutaneous sinus.


CONCLUSIONS
All patients responded well to surgical debridement followed by a three-month course of oral fluconazole.
Sica
Giuseppe
G
Department of Upper Gastrointestinal Surgery, John Radcliffe Hospital, Oxford, United Kingdom.
Meissner
Sara
S
Dawas
Khaled
K
Maynard
Nick
N
D000935:Antifungal Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000150:complications / Q000188:drug therapy* / Q000209:etiology; D003646:Debridement; D004947:Esophagus / Q000601:surgery; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D010007:Osteochondritis / Q000188:drug therapy / Q000382:microbiology*; D010019:Osteomyelitis / Q000188:drug therapy / Q000382:microbiology*; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000382:microbiology*; D035423:Thoracic Cavity / Q000601:surgery; D019616:Thoracic Surgical Procedures / Q000009:adverse effects
D000935:Antifungal Agents; D015725:Fluconazole