Surgical Strategy for Spondylodiscitis Due to Candida Albicans in an Immunocompromised Host. Case Report.

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  • TOKUYAMA Tsutomu
    Department of Neurosurgery, Hamamatsu University School of Medicine
  • NISHIZAWA Shigeru
    Department of Neurosurgery, Hamamatsu University School of Medicine
  • YOKOTA Naoki
    Department of Neurosurgery, Hamamatsu University School of Medicine
  • OHTA Seiji
    Department of Neurosurgery, Hamamatsu University School of Medicine
  • YOKOYAMA Tetsuo
    Department of Neurosurgery, Hamamatsu University School of Medicine
  • NAMBA Hiroki
    Department of Neurosurgery, Hamamatsu University School of Medicine

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  • —Case Report—

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A 44-year-old woman receiving systemic chemotherapy for cerebellar medulloblastoma developed thoracolumbar spondylodiscitis due to Candida albicans associated with abscesses in the bilateral psoas muscles. As long-term medical therapy with fluconazole was not effective, radical removal of the affected lesions and anterior bone grafting were performed. Corpectomy of the infected vertebra with autologous bone grafting and removal of the psoas muscle were performed via the right transthoracic retroperitoneal approach. Additional posterior instrumentation was not used. Two years after the operation, the patient was doing well, and systemic chemotherapy for medulloblastoma has restarted. Corpectomy with radical resection of surrounding infectious tissues for C. albicans spondylodiscitis in an immunocompromised host should be performed when conservative medical treatment is not successful. Further instrumentation surgery might be necessary to prevent further deformity of the spine as the second surgery.<br>

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