Espondilodiscite fúngica por Candida albicans: um caso atípico e revisão da literatura

Abstract

Como citar este artigo: Kulcheski ÁL, et al. Espondilodiscite fúngica por Candida albicans: um caso atípico e revisão da literatura. Rev Bras Ortop. 2015. http://dx.doi.org/10.1016/j.rbo.2015.04.016 No. of Pages 4 r e v b r a s o r t o p . 2 0 1 5;x x x(x x):xxx-xxx w w w . r b o . o r g . b r Relato de caso Espondilodiscite fúngica por Candida albicans: um caso atípico e revisão da literatura ଝ informações sobre o artigo Histórico do artigo: Recebido em 18 de agosto de 2014 Aceito em 14 de novembro de 2014 On-line em xxx Palavras-chave: Candida albicans Discite Doenças da coluna vertebral r e s u m o A espondilodiscite por Candida albicans é uma rara complicação da disseminação hematogênica da infecção por esse fungo. Apresentamos um caso atípico de espondilodiscite por esse germe ocorrido após trauma contuso torácico que cursou com fasceíte necrotizante da região anterior do tórax, osteomielite de esterno e, por contiguidade, afetou a coluna vertebral torácica alta. O paciente evoluiu com alteração neurológica e recuperou--se satisfatoriamente após tratamento adequado com descompressão medular cirúrgica e antibioticoterapia específica. Discitis Spinal diseases a b s t r a c t Spondylodiscitis due to Candida is a rare complication from hematogenic dissemination of infection caused by this fungus. We present an atypical case of spondylodiscitis caused by this germ that occurred after chest contusion and progressed with necrotizing fasciitis of the anterior region of the chest and osteomyelitis of the sternum. Through contiguity, it also affected the upper thoracic spine. The patient evolved with neurological alterations and recovered satisfactorily after appropriate treatment with surgical decompression of the spinal cord and specific antibiotic therapy ARTICLE IN PRESS

High cervical spine spondylodiscitis management and literature review

“…However, its incidence has been increasing, mainly due to the increased longevity of the population and a higher incidence of comorbidities that cause immunosuppression. 1 Discitis predominantly occurs in the lumbar spine, followed by the thoracic spine and, to a lesser extent, the cervical spine. 2 The literature regarding cervical spondylodiscitis is scarce.…”

Infecção por Candida parapsilosis em pós-operatório de artrodese lombossacra com dispositivo de fusão intersomático TLIF em PEEK: Relato de caso

“…Spinal fungal infections occur mainly in subjects with some degree of immunodeficiency, which can be caused by excessive use of alcohol or drugs, malnutrition or wasting conditions. [1][2][3][4] Colombo reports that most cases of systemic infection by Candida spp. are endogenous, resulting from the translocation of the organism through the gastrointestinal tract, which is richly colonized by Candida spp.…”

“…and gram-negative bacilli, can cause infection, in addition to other organisms, such as Mycobacterium tuberculosis and, more rarely, fungi. 2 Candida albicans is the most frequent fungi in these cases, affecting mainly immunosuppressed and alcoholic subjects. 2 We report the case of a healthy 69-year-old patient who developed an infection after a lumbosacral spine arthrodesis.…”

“…2 Candida albicans is the most frequent fungi in these cases, affecting mainly immunosuppressed and alcoholic subjects. 2 We report the case of a healthy 69-year-old patient who developed an infection after a lumbosacral spine arthrodesis. Candida parapsilosis was isolated at the L5-S1 level, which had an interbody fusion device with a polyether ether ketone (PEEK) structure.…”

Thoracolumbar Spondylodiscitis and the Surgical Approach: A Retrospective Analysis

“…13 On the other hand, when the pathogen is not identified by means of percutaneous puncture, there is a tendency towards more invasive surgical procedures like debridement from anterior, posterior, or combined (anterior and posterior) approaches. 14,15 In view of the morbidity associated with a delayed diagnosis in spondylodiscitis and the increase in cases in recent years, we conducted this study in order to better understand the cases treated surgically by the Spine Surgery Group of the Hospital do Trabalhador (Curitiba-Brazil) and to improve the management of individuals with spondylodiscitis.…”