Division of Infectious Diseases, Clinica Universidad de Navarra, Pamplona, Spain.
Infection. 2012 Aug;40(4):445-9. doi: 10.1007/s15010-012-0276-z. Epub 2012 Jun 16.
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.
白色念珠菌性骨髓炎是一种公认但罕见的疾病。我们描述了一例有趣的病例，即由于腰椎骨折的自体移植手术而导致的髂骨白色念珠菌性骨髓炎。念珠菌是通过定植在皮肤上的酵母接种而在围手术期获得的。值得注意的是，缺失了许多描述的念珠菌感染和念珠菌血症的危险因素。该患者还出现了局部瘘管。受影响的唯一骨骼是髂嵴，我们的病例中仅出现局部疼痛这一症状。通过手术获得的多部位活检进行诊断。氟康唑治疗取得了成功。
