A Case of Polymicrobial Fungal and Bacterial Spondylodiscitis |
Mi Ok Cho1, Young Goo Song1, Seo Hui Lee1, Se Hee Jo1, Ah Ran Choi1, Na Lae Eun2, Sung Joon Jin1 |
1Departments of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea 2Departments of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea |
진균과 세균 복합 감염의 척추체-추간판염 1예 |
조미옥1, 송영구1, 이서희1, 조세희1, 최아란1, 은나래2, 진성준1 |
1연세대학교 의과대학 강남세브란스병원 내과 2연세대학교 의과대학 강남세브란스병원 영상의학과 |
Correspondence:
Young Goo Song, Tel: +82-2-2019-3319, Fax: +82-2-3463-3882, Email: imfell@yuhs.ac |
Received: 2 April 2014 • Revised: 16 May 2014 • Accepted: 21 July 2014 |
|
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Abstract |
A 66-year-old female who had undergone surgery for a herniated disc at the L5-S1 level at another hospital 3 months earlier was admitted with persistent back and leg pain. She was diagnosed with spondylodiscitis at the L5-S1 level by magnetic resonance imaging. A biopsy was performed, and Candida parapsilosis and Enterococcus faecium were isolated from the excised material. We report herein a case of successful treatment of polymicrobial spondylodiscitis in accordance with accurate microbiological diagnosis. Based on this case, we hope to encourage physicians to perform biopsies more aggressively or repeatedly to improve the diagnostic yield. |
Key Words:
Spondylodiscitis; Polymicrobial infection; Candida parapsilosis; Enterococcus faecium |
주제어:
척추체-추간판염; 복합 감염; Candida parapsilosis; Enterococcus faecium |