Li Zheng, Liang Jinqian, Shen Jianxiong, Qiu Guixing, Weng Xisheng
From the Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Medicine (Baltimore). 2016 Feb;95(5):e2613. doi: 10.1097/MD.0000000000002613.
Cryptococcus neoformans causes opportunistic infections in immunocompromised patients, with vertebral osteomyelitis being a very rare involvement.This study is to present a case of thoracolumbar scoliosis occurring in the setting of cryptococcal osteomyelitis.Pharmacological intervention with anticryptococcal medicine and medical management of immune hemolytic anemia were administered. After initial acute stabilization, she underwent spinal debridement and fusion on October 29, 2008. She eventually recovered fully from this episode with no subsequent mechanical instability or neurological deficits on subsequent clinic follow-ups.To the best of our knowledge, there have been no reports describing the onset of spinal cryptococcal osteomyelitis along with immune hemolytic anemia. We suggest a comprehensive algorithm for the diagnosis of vertebral cryptococcal osteomyelitis.
新型隐球菌可在免疫功能低下的患者中引起机会性感染,其中脊椎骨髓炎是非常罕见的受累情况。本研究旨在介绍一例发生在隐球菌性骨髓炎背景下的胸腰椎脊柱侧弯病例。给予了抗隐球菌药物的药理干预以及免疫性溶血性贫血的药物治疗。在初始急性稳定后,她于2008年10月29日接受了脊柱清创和融合手术。她最终从这一病程中完全康复,在随后的门诊随访中没有出现后续的机械性不稳定或神经功能缺损。据我们所知,尚无报道描述脊柱隐球菌性骨髓炎伴免疫性溶血性贫血的发病情况。我们提出了一种用于诊断脊椎隐球菌性骨髓炎的综合算法。