Candida parapsilosis Infection after Lumbosacral Arthrodesis with a PEEK TLIF Interbody Fusion Device: Case Report

Spondylodiscitis is an uncommon but serious complication after spine surgeries, and its main etiologic agent is Staphylococcus aureus . Fungal infections are rare and mostly caused by Candida albicans . We report the clinical case of a 69-year-old male patient who underwent a L2-S1 arthrodesis for d...

Descripción completa

Detalles Bibliográficos
Autores principales: Wajchenberg, Marcelo, Astur, Nelson, Kanas, Michel, Camargo, Thiago Zinsly Sampaio, Wey, Sérgio Barsanti, Martins, Délio Eulalio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8249073/
https://www.ncbi.nlm.nih.gov/pubmed/34239208
http://dx.doi.org/10.1055/s-0040-1721845
_version_ 1783716835466674176
author Wajchenberg, Marcelo
Astur, Nelson
Kanas, Michel
Camargo, Thiago Zinsly Sampaio
Wey, Sérgio Barsanti
Martins, Délio Eulalio
author_facet Wajchenberg, Marcelo
Astur, Nelson
Kanas, Michel
Camargo, Thiago Zinsly Sampaio
Wey, Sérgio Barsanti
Martins, Délio Eulalio
author_sort Wajchenberg, Marcelo
collection PubMed
description Spondylodiscitis is an uncommon but serious complication after spine surgeries, and its main etiologic agent is Staphylococcus aureus . Fungal infections are rare and mostly caused by Candida albicans . We report the clinical case of a 69-year-old male patient who underwent a L2-S1 arthrodesis for degenerative scoliosis correction. He presented an infection 2.5 months after the procedure, a spondylodiscitis at L5-S1 levels, caused by Candida parapsilosis . The treatment consisted of surgical material removal, tricortical iliac graft placement in an anterior approach (L5-S1), lumbopelvic fixation (from T10 to the pelvis) in a posterior approach, and drug treatment with anidulafungin and fluconazole. This last medication was administered for 12 months, with good clinical outcomes.
format Online
Article
Text
id pubmed-8249073
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Thieme Revinter Publicações Ltda.
record_format MEDLINE/PubMed
spelling pubmed-82490732021-07-07 Candida parapsilosis Infection after Lumbosacral Arthrodesis with a PEEK TLIF Interbody Fusion Device: Case Report Wajchenberg, Marcelo Astur, Nelson Kanas, Michel Camargo, Thiago Zinsly Sampaio Wey, Sérgio Barsanti Martins, Délio Eulalio Rev Bras Ortop (Sao Paulo) Spondylodiscitis is an uncommon but serious complication after spine surgeries, and its main etiologic agent is Staphylococcus aureus . Fungal infections are rare and mostly caused by Candida albicans . We report the clinical case of a 69-year-old male patient who underwent a L2-S1 arthrodesis for degenerative scoliosis correction. He presented an infection 2.5 months after the procedure, a spondylodiscitis at L5-S1 levels, caused by Candida parapsilosis . The treatment consisted of surgical material removal, tricortical iliac graft placement in an anterior approach (L5-S1), lumbopelvic fixation (from T10 to the pelvis) in a posterior approach, and drug treatment with anidulafungin and fluconazole. This last medication was administered for 12 months, with good clinical outcomes. Thieme Revinter Publicações Ltda. 2021-06 2021-03-31 /pmc/articles/PMC8249073/ /pubmed/34239208 http://dx.doi.org/10.1055/s-0040-1721845 Text en Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Wajchenberg, Marcelo
Astur, Nelson
Kanas, Michel
Camargo, Thiago Zinsly Sampaio
Wey, Sérgio Barsanti
Martins, Délio Eulalio
Candida parapsilosis Infection after Lumbosacral Arthrodesis with a PEEK TLIF Interbody Fusion Device: Case Report
title Candida parapsilosis Infection after Lumbosacral Arthrodesis with a PEEK TLIF Interbody Fusion Device: Case Report
title_full Candida parapsilosis Infection after Lumbosacral Arthrodesis with a PEEK TLIF Interbody Fusion Device: Case Report
title_fullStr Candida parapsilosis Infection after Lumbosacral Arthrodesis with a PEEK TLIF Interbody Fusion Device: Case Report
title_full_unstemmed Candida parapsilosis Infection after Lumbosacral Arthrodesis with a PEEK TLIF Interbody Fusion Device: Case Report
title_short Candida parapsilosis Infection after Lumbosacral Arthrodesis with a PEEK TLIF Interbody Fusion Device: Case Report
title_sort candida parapsilosis infection after lumbosacral arthrodesis with a peek tlif interbody fusion device: case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8249073/
https://www.ncbi.nlm.nih.gov/pubmed/34239208
http://dx.doi.org/10.1055/s-0040-1721845
work_keys_str_mv AT wajchenbergmarcelo candidaparapsilosisinfectionafterlumbosacralarthrodesiswithapeektlifinterbodyfusiondevicecasereport
AT asturnelson candidaparapsilosisinfectionafterlumbosacralarthrodesiswithapeektlifinterbodyfusiondevicecasereport
AT kanasmichel candidaparapsilosisinfectionafterlumbosacralarthrodesiswithapeektlifinterbodyfusiondevicecasereport
AT camargothiagozinslysampaio candidaparapsilosisinfectionafterlumbosacralarthrodesiswithapeektlifinterbodyfusiondevicecasereport
AT weysergiobarsanti candidaparapsilosisinfectionafterlumbosacralarthrodesiswithapeektlifinterbodyfusiondevicecasereport
AT martinsdelioeulalio candidaparapsilosisinfectionafterlumbosacralarthrodesiswithapeektlifinterbodyfusiondevicecasereport

Ejemplares similares