title: Concomitant fungal and bacterial atlanto-axial osteomyelitis: a case report.
abstract: Concomitant fungal and bacterial atlanto-axial osteomyelitis in immunocompetent individuals is rare. We report one such patient who underwent transoral anterior decompression and posterior occipital cervical fusion, together with antibiotic and antifungal treatment. At 16-month follow-up, the patient had made a full recovery with solid fusion. Prompt diagnosis requires a high degree of clinical suspicion, with timely use of modern imaging modalities. When the diagnosis is early, antibiotic treatment alone should suffice.
authors.affiliation: Department of Orthopaedics and Traumatology, Queen Elizabeth Hospital, Kowloon, Hong Kong. edmundyau@yahoo.com
authors.forename: Edmund Leung-kai
authors.initials: EL
authors.lastname: Yau
authors.forename: Ka-Kin
authors.initials: KK
authors.lastname: Li
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D001269:Atlanto-Occipital Joint; D001424:Bacterial Infections / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D019299:Decompression, Surgical; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009181:Mycoses / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D010019:Osteomyelitis / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D013122:Spinal Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000890:Anti-Infective Agents