Candida albicans osteomyelitis of the cervical spine.
Fungal osteomyelitis is a rare infection that usually develops in immunocompromised patients. Additionally, involvement of the cervical spine by Candida albicans is extremely rare; only three previous cases of Candida vertebral osteomyelitis have been reported in the literature. The diagnosis may be delayed due to nonspecific radiologic findings and a slow progression. We report the CT, MRI, bone scan, and PET-CT findings in a patient who developed Candida osteomyelitis, which was initially misdiagnosed as metastasis, at the atlas and axis following treatment for nasopharyngeal cancer.
Cha
Jang-Gyu
JG
Department of Radiology, Soonchunhyang University Bucheon Hospital, 1174 Jung-Dong, Wonmi-Gu, Bucheon-Si, Gyeonggi-Do 420-767, Republic of Korea. mj4907@schbc.ac.kr
Hong
Hyun-Sook
HS
Koh
Yoon-Woo
YW
Kim
Hee-Kyung
HK
Park
Jung-Mi
JM
D002176:Candida albicans; D002177:Candidiasis / Q000175:diagnosis* / Q000382:microbiology*; D002574:Cervical Vertebrae; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000175:diagnosis* / Q000382:microbiology*