Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports

Candida osteochondromyelitis is a rare complication after thoracoabdominal surgery. We herein report two such cases after uncomplicated thoracoabdominal surgery, who presented with chronic postsurgical site infection and fistula. CT scans showed fistulas reaching the costochondral areas of the fifth...

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Autores principales: Meiwandi, Abdulwares, Zirngibl, Hubert, Bozkurt, Ahmet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8257295/
https://www.ncbi.nlm.nih.gov/pubmed/34239253
http://dx.doi.org/10.1055/s-0041-1731854
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author Meiwandi, Abdulwares
Zirngibl, Hubert
Bozkurt, Ahmet
author_facet Meiwandi, Abdulwares
Zirngibl, Hubert
Bozkurt, Ahmet
author_sort Meiwandi, Abdulwares
collection PubMed
description Candida osteochondromyelitis is a rare complication after thoracoabdominal surgery. We herein report two such cases after uncomplicated thoracoabdominal surgery, who presented with chronic postsurgical site infection and fistula. CT scans showed fistulas reaching the costochondral areas of the fifth rib. Inflammatory parameters were not elevated. Both patients were treated successfully after the initiation of systemic antimycotic treatment and surgical debridement. We conclude that C. albicans infections should always be considered in cases of chronic postoperative surgical site infections after thoracoabdominal surgery. Additional risk factors do not need to be present. Appropriate therapy consists of the application of systemic antimycotics and surgical debridement.
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spelling pubmed-82572952021-07-07 Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports Meiwandi, Abdulwares Zirngibl, Hubert Bozkurt, Ahmet Indian J Plast Surg Candida osteochondromyelitis is a rare complication after thoracoabdominal surgery. We herein report two such cases after uncomplicated thoracoabdominal surgery, who presented with chronic postsurgical site infection and fistula. CT scans showed fistulas reaching the costochondral areas of the fifth rib. Inflammatory parameters were not elevated. Both patients were treated successfully after the initiation of systemic antimycotic treatment and surgical debridement. We conclude that C. albicans infections should always be considered in cases of chronic postoperative surgical site infections after thoracoabdominal surgery. Additional risk factors do not need to be present. Appropriate therapy consists of the application of systemic antimycotics and surgical debridement. Thieme Medical and Scientific Publishers Pvt. Ltd. 2021-04 2021-07-05 /pmc/articles/PMC8257295/ /pubmed/34239253 http://dx.doi.org/10.1055/s-0041-1731854 Text en Association of Plastic Surgeons of India. 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 Meiwandi, Abdulwares
Zirngibl, Hubert
Bozkurt, Ahmet
Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports
title Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports
title_full Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports
title_fullStr Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports
title_full_unstemmed Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports
title_short Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports
title_sort candida albicans osteochondromyelitis after gastroesophageal surgery: two case reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8257295/
https://www.ncbi.nlm.nih.gov/pubmed/34239253
http://dx.doi.org/10.1055/s-0041-1731854
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