Download PDF
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(03): 390-393
DOI: 10.1055/s-0040-1721845
Relatos de Casos
Coluna

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

Article in several languages: português | English
Marcelo Wajchenberg 
1   Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
2   Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Nelson Astur 
1   Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
3   Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil
,
Michel Kanas 
1   Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
2   Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Thiago Zinsly Sampaio Camargo 
1   Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Sérgio Barsanti Wey
1   Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Délio Eulalio Martins 
1   Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
4   Universidade Anhembi Morumbi, São Paulo, SP, Brasil
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

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.

Keywords

fungal infections - spondylodiscitis - Candida parapsilosis

Study developed at Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.




Publication History

Received: 27 May 2020

Accepted: 16 September 2020

Article published online:
31 March 2021

© 2021. 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/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referências

  • 1 Cho K, Lee SH, Kim ES, Eoh W. Candida parapsilosis spondylodiscitis after lumbar discectomy. J Korean Neurosurg Soc 2010; 47 (04) 295-297
    CrossrefPubMedSearch in Google Scholar
  • 2 Kulcheski AL, Graells XS, Benato ML, Santoro PG, Sebben AL. Espondilodiscite fúngica por Candida albicans: um caso atípico e revisão da literatura. Rev Bras Ortop 2015; 50 (06) 239-242
    CrossrefPubMedSearch in Google Scholar
  • 3 Blecher R, Yilmaz E, Moisi M, Oskouian RJ, Chapman J. Extreme Lateral Interbody Fusion Complicated by Fungal Osteomyelitis: Case Report and Quick Review of the Literature. Cureus 2018; 10 (05) e2719
    PubMedSearch in Google Scholar
  • 4 Colombo AL, Guimarães T. [Epidemiology of hematogenous infections due to Candida spp]. Rev Soc Bras Med Trop 2003; 36 (05) 599-607
    CrossrefPubMedSearch in Google Scholar
  • 5 Richaud C, De Lastours V, Panhard X, Petrover D, Bruno F, Lefort A. Candida vertebral osteomyelitis (CVO) 28 cases from a 10-year retrospective study in France. Medicine (Baltimore) 2017; 96 (31) e7525
    CrossrefPubMedSearch in Google Scholar