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Rheumatol Int ; 29(10): 1237-41, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19370350

RESUMO

The study includes a case report and a literature review. The main objective of this study is to present a case of spondylodiscitis due to a fungal pathogen, Blastoschizomyces capitatus and to review the published literature on this emergent fungus in etiology of spondylodiscitis, and osteomyelitis. Osteoarticular involvement due to B. capitatus has been reported in six cases, and vertebral involvement has been seen in five of them. All of these cases had underlying malignancy. Infection is usually advanced at presentation. Case notes and online databases were reviewed. Organism was isolated from bone material in all of the cases and antibiotic treatment by antifungal agents cured the infection. We present another case of infectious spondylodiscitis due to B. capitaus, which is reported first in Turkey and tried to attract attendance to this emergent fungal pathogen as an etiologic agent of spine infections in cancer patients.


Assuntos
Dipodascus/patogenicidade , Discite/microbiologia , Vértebras Lombares/microbiologia , Idoso , Anfotericina B/farmacologia , Antifúngicos/farmacologia , Antifúngicos/uso terapêutico , Dipodascus/efeitos dos fármacos , Dipodascus/isolamento & purificação , Fluconazol/farmacologia , Humanos , Itraconazol/farmacologia , Cetoconazol/farmacologia , Vértebras Lombares/diagnóstico por imagem , Vértebras Lombares/patologia , Vértebras Lombares/cirurgia , Masculino , Testes de Sensibilidade Microbiana , Naftalenos/farmacologia , Infecções Oportunistas/tratamento farmacológico , Radiografia , Terbinafina , Resultado do Tratamento
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