Łukjanowicz Małgorzata, Bohatyrewicz Andrzej, Brzosko Marek
Klinika Reumatologii Pomorskiej Akademii Medycznej w Szczecinie, Szczecin.
Ann Acad Med Stetin. 2007;53(3):128-33; discussion 133.
Infectious spondylodiscitis due to Candida species is rarely reported, not well known entity with low frequency. Most probably its frequency is underestimated, partly because of chronic course and difficulties with establishing of final diagnosis. Candida can be considered as the opportunistic pathogens. The infection proceeds as the systemic mycosis and most commonly develops in individuals with immune deficiency. In forthcoming years, the higher frequency of opportunistic infections, including mycotic spondylodiscitis, can be expected because of an increasing number of individuals treated with immunosuppressive drugs, and an increasing number of medical invasive procedures. A purpose of our paper is to describe a natural history of infectious spondylodiscitis due to Candida, usefull diagnostic methods, and recommended treatment.
念珠菌属引起的感染性脊椎盘炎鲜有报道,是一种鲜为人知且发病率较低的疾病。其发病率很可能被低估了,部分原因是病程呈慢性且难以确诊。念珠菌可被视为机会致病菌。该感染作为系统性真菌病进展,最常见于免疫缺陷个体。在未来几年,由于接受免疫抑制药物治疗的个体数量增加以及医疗侵入性操作增多,预计包括霉菌性脊椎盘炎在内的机会性感染发病率会更高。我们论文的目的是描述念珠菌引起的感染性脊椎盘炎的自然病程、有用的诊断方法及推荐的治疗方法。