title: Candidal Vertebral Osteomyelitis in the Midst of Renal Disorders.
abstract: Vertebral osteomyelitis also known as discitis/pyogenic spondylitis refers to inflammation of the vertebral disc space. It is commonly seen in men and adults more than 50 years of age. Fungal osteomyelitis is a rare scenario compared to its bacterial counterpart. Spinal epidural abscess is a dangerous complication associated with vertebral osteomyelitis. Here, we report two cases of vertebral osteomyelitis caused by Candida tropicalis in patients with renal disorders (stage 5 chronic kidney disease and nephropathy). One of the case discussed here presented with spinal epidural abscess. Both the patients were started on antifungal therapy. One patient responded to treatment while the other was lost to follow up.
authors.affiliation: Clincial Assistant Professor, Department of Microbiology, Amrita Institute of Medical Sciences , Kochi, Kerala, India .
authors.forename: Anusha
authors.initials: A
authors.lastname: Gopinathan
authors.affiliation: Clinical Professor, Department of Microbiology, Amrita Institute of Medical Sciences , Kochi, Kerala, India .
authors.forename: Anil
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Senior resident, Department of Orthopaedics, Amrita Institute of Medical Sciences , Kochi, Kerala, India .
authors.forename: Srivatsa Nagaraja
authors.initials: SN
authors.lastname: Rao
authors.affiliation: Clinical Associate Professor, Department of Orthopaedics, Amrita Institute of Medical Sciences , Kochi, Kerala, India .
authors.forename: Krishna
authors.initials: K
authors.lastname: Kumar
authors.affiliation: Professor and Head, Department of Microbiology, Amrita Institute of Medical Sciences , Kochi, Kerala, India .
authors.forename: Shamsul
authors.initials: S
authors.lastname: Karim
keywords: Candida tropicalis; Chronic renal failure; Discitis; Epidural abscess; Fungal osteomyelitis; Spondylitis