Abstract
Candida osteomyelitis is a well recognized but infrequent entity. We describe an interesting case of iliac bone C. albicans osteomyelitis as a result of a surgical trauma of an iliac bone for the auto-grafting of a fracture in the lumbar spine. The peri-operative acquisition of Candida was by the inoculation of a yeast colonizing the skin. Remarkably, several risk factors described for Candida infection and candidemia were absent. The patient also presented with a local fistula. The iliac crest was the only bone affected and local pain was the only symptom present in our case. Diagnosis was made by multiple-specimen biopsy obtained by surgery. Treatment with fluconazole was successful.
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Acknowledgments
We thank José María Bondía and Dámaso Aquerreta for contributing to the illustrations and Dr. Paul Miller for the English language revision.
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Yuste, J.R., Alfonso, M., Bustos, C. et al. Iliac bone Candida albicans osteomyelitis in a patient with iliac crest bone autograft: a case report and review of the literature. Infection 40, 445–449 (2012). https://doi.org/10.1007/s15010-012-0276-z
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DOI: https://doi.org/10.1007/s15010-012-0276-z