Diagnosis and treatment of nonadjacent cryptococcal infections at the L1 and S1 vertebrae

Cryptococcal spine infections are rare infections that are easy to misdiagnose and difficult to cure. Therefore, we report the case of a 25-year-old man who presented with nonspecific spinal lesions at L1 and S1. The patient underwent surgical removal of the lesions, and specimens were submitted for...

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Autores principales: Lai, Qi, Liu, Yuan, Yu, Xionglong, Lv, Xin, Wang, Qiang, Zhou, Yibiao, Guo, Runsheng, Zhang, Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2016
Materias:
Kasuistik
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5233733/
https://www.ncbi.nlm.nih.gov/pubmed/27858091
http://dx.doi.org/10.1007/s00132-016-3349-3
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author Lai, Qi
Liu, Yuan
Yu, Xionglong
Lv, Xin
Wang, Qiang
Zhou, Yibiao
Guo, Runsheng
Zhang, Bin
author_facet Lai, Qi
Liu, Yuan
Yu, Xionglong
Lv, Xin
Wang, Qiang
Zhou, Yibiao
Guo, Runsheng
Zhang, Bin
author_sort Lai, Qi
collection PubMed
description Cryptococcal spine infections are rare infections that are easy to misdiagnose and difficult to cure. Therefore, we report the case of a 25-year-old man who presented with nonspecific spinal lesions at L1 and S1. The patient underwent surgical removal of the lesions, and specimens were submitted for microbial identification, which identified a cryptococcal infection that was susceptible to amphotericin B. The patient exhibited marked improvement after receiving intravenous amphotericin B and remained asymptomatic (no back pain, fever, or other symptoms) at the 3‑ and 9‑month follow-ups. Similar cases of cryptococcal spine infections are rare, and we believe that our diagnostic findings and treatment experience may help improve the management of this rare disease.
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spelling pubmed-52337332017-01-25 Diagnosis and treatment of nonadjacent cryptococcal infections at the L1 and S1 vertebrae Lai, Qi Liu, Yuan Yu, Xionglong Lv, Xin Wang, Qiang Zhou, Yibiao Guo, Runsheng Zhang, Bin Orthopade Kasuistik Cryptococcal spine infections are rare infections that are easy to misdiagnose and difficult to cure. Therefore, we report the case of a 25-year-old man who presented with nonspecific spinal lesions at L1 and S1. The patient underwent surgical removal of the lesions, and specimens were submitted for microbial identification, which identified a cryptococcal infection that was susceptible to amphotericin B. The patient exhibited marked improvement after receiving intravenous amphotericin B and remained asymptomatic (no back pain, fever, or other symptoms) at the 3‑ and 9‑month follow-ups. Similar cases of cryptococcal spine infections are rare, and we believe that our diagnostic findings and treatment experience may help improve the management of this rare disease. Springer Medizin 2016-11-17 2017 /pmc/articles/PMC5233733/ /pubmed/27858091 http://dx.doi.org/10.1007/s00132-016-3349-3 Text en © The Author(s) 2016 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Kasuistik
Lai, Qi
Liu, Yuan
Yu, Xionglong
Lv, Xin
Wang, Qiang
Zhou, Yibiao
Guo, Runsheng
Zhang, Bin
Diagnosis and treatment of nonadjacent cryptococcal infections at the L1 and S1 vertebrae
title Diagnosis and treatment of nonadjacent cryptococcal infections at the L1 and S1 vertebrae
title_full Diagnosis and treatment of nonadjacent cryptococcal infections at the L1 and S1 vertebrae
title_fullStr Diagnosis and treatment of nonadjacent cryptococcal infections at the L1 and S1 vertebrae
title_full_unstemmed Diagnosis and treatment of nonadjacent cryptococcal infections at the L1 and S1 vertebrae
title_short Diagnosis and treatment of nonadjacent cryptococcal infections at the L1 and S1 vertebrae
title_sort diagnosis and treatment of nonadjacent cryptococcal infections at the l1 and s1 vertebrae
topic Kasuistik
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5233733/
https://www.ncbi.nlm.nih.gov/pubmed/27858091
http://dx.doi.org/10.1007/s00132-016-3349-3
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