Iliac bone Candida albicans osteomyelitis in a patient with iliac crest bone autograft: a case report and review of the literature.
Candida osteomyelitis is a well recognized but infrequent entity. We describe an interesting case of iliac bone C. albicans osteomyelitis as a result of a surgical trauma of an iliac bone for the auto-grafting of a fracture in the lumbar spine. The peri-operative acquisition of Candida was by the inoculation of a yeast colonizing the skin. Remarkably, several risk factors described for Candida infection and candidemia were absent. The patient also presented with a local fistula. The iliac crest was the only bone affected and local pain was the only symptom present in our case. Diagnosis was made by multiple-specimen biopsy obtained by surgery. Treatment with fluconazole was successful.
Division of Infectious Diseases, Clinica Universidad de Navarra, Pamplona, Spain. jryuste@unav.es
J R
JR
Yuste
M
M
Alfonso
C
C
Bustos
J
J
Quintana
M
M
Rubio
C
C
Villas
J L
JL
Del Pozo
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D016025:Bone Transplantation / Q000009:adverse effects; D002176:Candida albicans / Q000302:isolation & purification*; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D007085:Ilium / Q000382:microbiology* / Q000637:transplantation*; D008159:Lumbar Vertebrae; D010019:Osteomyelitis / Q000188:drug therapy / Q000209:etiology*; D016103:Spinal Fractures / Q000601:surgery*; D014182:Transplantation, Autologous
D000935:Antifungal Agents; D015725:Fluconazole