کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4098106 1268607 2011 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Candida sake as the causative agent of spondylodiscitis in a hemodialysis patient
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Candida sake as the causative agent of spondylodiscitis in a hemodialysis patient
چکیده انگلیسی

Background contextFungal spondylodiscitis is often because of Candida albicans or other common Candida species, whereas unusual strains such as Candida sake are often thought to be nonpathogenic.PurposeTo report the first case of spondylodiscitis caused by C sake and its outcome after antimycotic therapy; as the disease occurred in a patient undergoing hemodialysis (HD), we also discuss the potential conditions related to the uremic state and to HD itself, which may predispose to spondylodiscitis.Study design/settingCase report.MethodsReport of the patient’s clinical findings and review of the literature concerning spondylodiscitis in HD patients and infections caused by C sake.ResultsThe patient was a 48-year-old woman with end-stage renal disease (ESRD) undergoing HD who presented with back pain; spine computed tomographic (CT) scans showed lumbar spondylodiscitis with large bilateral abscesses in the psoas muscles, with an imaging appearance resembling that of Pott’s disease. Surprisingly, C sake was isolated from the cultures of the liquid obtained by CT-guided aspiration of both abscesses, and fluconazole therapy was strikingly effective in inducing abscess regression and healing of spondylodiscitis.ConclusionsIn patients with chronic disorders such as ESRD, spondylodiscitis can also be caused by rare fungal strains that are usually thought to be nonpathogenic; a correct diagnostic workup is essential, as such forms can promptly respond to common antimycotic agents.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Spine Journal - Volume 11, Issue 3, March 2011, Pages e12–e16
نویسندگان
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