1. Azole-resistant Candida albicans Spondylodiscitis After Bariatric Surgery: A Case Report.
- Author
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Relvas-Silva M, Pinho AR, Vital L, Leão B, Sousa AN, Carvalho AC, and Veludo V
- Subjects
- Aged, Anti-Infective Agents therapeutic use, Candida albicans isolation & purification, Candidiasis complications, Drug Resistance, Multiple, Bacterial, Female, Humans, Intestinal Perforation complications, Jejunal Diseases complications, Shock, Septic drug therapy, Shock, Septic etiology, Spinal Fractures microbiology, Spinal Fractures surgery, Bariatric Surgery adverse effects, Candida albicans physiology, Discitis microbiology, Drug Resistance, Multiple, Fungal, Postoperative Complications microbiology
- Abstract
Case: We present a case of azole and partial caspofungin-resistant Candida albicans spondylodiscitis, after bariatric surgery with bowel perforation. Treatment included debridement and several months of anidulafungin, complemented with antibacterial therapy because of relapse for bacterial superinfection. After treatment, the infection did not recur clinically or radiologically during one and half years follow-up., Conclusion: Although C. albicans spondylodiscitis is rare, fungi should be suspected as a causative agent. Adequate history, imaging and laboratory testing, and medical and surgical treatment should be performed to successfully eradicate the infection and resolve potential neurological deficits.
- Published
- 2020
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