The London Spine Unit : innovative spine clinic in UK
Published article
CONCLUSION: This organism has been reported rarely in the literature as being an infectious agent, thus diagnosing remains a challenge but should be considered in patients with a suggestive history.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Surg Neurol Int. 2022 Sep 23;13:435. doi: 10.25259/SNI_750_2022. eCollection 2022.
ABSTRACT
BACKGROUND: This report describes a case of an immunocompetent patient with an intradural abscess from Candida dubliniensis. The majority of fungal spine infections, although rare in general, are due to Aspergillus or C. albicans through systemic fungemia. To date, there have only been two reports of spondylodiscitis from C. dubliniensis.
CASE DESCRIPTION: A 37-year-old immunocompetent female patient presented to the neurosurgical service for worsening headaches with nausea, vomiting, vision changes, and weight loss. MRI studies showed diffuse leptomeningeal enhancement of the distal spinal cord, conus medullaris, and nerve roots of the cauda equina extending beyond the neural foramina bilaterally. She had persistent symptoms and no clear diagnosis on lumbar puncture or systemic testing therefore L5-S1 laminectomy for an intradural tissue biopsy was performed. During surgery, cultures were taken and grew colonies of C. dubliniensis.
CONCLUSION: This organism has been reported rarely in the literature as being an infectious agent, thus diagnosing remains a challenge but should be considered in patients with a suggestive history.
PMID:36324960 | PMC:PMC9610685 | DOI:10.25259/SNI_750_2022
The London Spine Unit : innovative spine clinic in UK
Read the original publication: