title: Fungal thoracic Spondylodiskitis in an immunocompetent 14-year-old girl.
abstract: Fungal spondylodiskitis (inflammation of intervertebral disk tissue and adjacent vertebrae) is rare, particularly in immunocompetent patients. Here, we report a case of fungal and bacterial thoracic spondylodiskitis in a 14-year-old girl with abdominal and back pain. The spondylodiskitis was diagnosed on the basis of the presence of beta-D glucan and the unusual clinical course, although cultures for fungus were negative. We conclude spondylodiskitis must be considered in cases of abdominal pain without clear etiology and in cases of fungal infection with unexplainable findings after standard treatment for bacterial infection, even when fungal cultures are negative.
authors.affiliation: Department of Pediatrics, Graduate School of Medicine, Nippon Medical School Chiba Hokusoh Hospital, Inba-gun, Chiba, Japan. VFF13540@nifty.ne.jp
authors.forename: Takeshi
authors.initials: T
authors.lastname: Asano
authors.forename: Takayuki
authors.initials: T
authors.lastname: Hatori
authors.forename: Kentaroh
authors.initials: K
authors.lastname: Kuwabara
authors.forename: Kaoru
authors.initials: K
authors.lastname: Aki
authors.forename: Osamu
authors.initials: O
authors.lastname: Fujino
mesh_terms: D000293:Adolescent; D000935:Antifungal Agents / Q000627:therapeutic use*; D015299:Discitis / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use*; D006801:Humans; D007121:Immunocompetence; D009181:Mycoses / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology; D013904:Thoracic Vertebrae
chemical_list: D000935:Antifungal Agents; D015725:Fluconazole