title: Fungal postoperative spondylodiscitis due to Scedosporium prolificans.
abstract: BACKGROUND
  Postoperative fungal spondylodiscitis is a rare infectious disease.
  
  
  OBJECTIVE
  We report the first case of postoperative spondylodiscitis because of Scedosporium prolificans and review postoperative vertebral infection caused by fungi.
  
  
  METHODS
  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.
authors.affiliation: Infectious Disease Service, IDIBELL-Hospital Universitary de Bellvitge, University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain. carolgv75@hotmail.com
authors.forename: Carolina
authors.initials: C
authors.lastname: Garcia-Vidal
authors.forename: Carmen
authors.initials: C
authors.lastname: Cabellos
authors.forename: Josefina
authors.initials: J
authors.lastname: Ayats
authors.forename: Frederic
authors.initials: F
authors.lastname: Font
authors.forename: Enrique
authors.initials: E
authors.lastname: Ferran
authors.forename: Pedro
authors.initials: P
authors.lastname: Fernandez-Viladrich
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001174:Arthrodesis; D003646:Debridement; D015299:Discitis / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009181:Mycoses / Q000209:etiology / Q000382:microbiology* / Q000473:pathology; D019637:Orthopedic Procedures / Q000009:adverse effects; D011183:Postoperative Complications / Q000382:microbiology*; D011743:Pyrimidines / Q000627:therapeutic use; D021681:Scedosporium; D014230:Triazoles / Q000627:therapeutic use; D065819:Voriconazole
chemical_list: D000900:Anti-Bacterial Agents; D000935:Antifungal Agents; D011743:Pyrimidines; D014230:Triazoles; D065819:Voriconazole