Anterior cervical corpectomy and fusion for blastomycosis causing destruction of C6 vertebra: a case report

Journal of Medical Case Reports

Krzysztof Siemionow¹  Sergey Neckrysh¹  Michal Szczodry¹  Kushal R. Patel¹ 

[1] Department of Orthopedic Surgery, University of Illinois Hospital & Health Sciences System, 835 S Wolcott Avenue, Chicago 60612, IL, USA

关键词: Osteomyelitis;    Fungal infection;    Corpectomy;    Cervical spine;    Blastomycosis;   

Others  :  1235864
DOI  :  10.1186/s13256-015-0762-x

 received in 2015-01-06, accepted in 2015-11-08,  发布年份 2015

【 摘 要 】

Introduction

We describe a patient who had cervical spine osteomyelitis caused by Blastomyces dermatitidis that resulted in cord compression and cervical spine instability.

Case presentation

A 25-year-old Hispanic woman presented with fever, sweats, neck pain, and an enlarging neck mass with purulent discharge after sustaining a C6 vertebral body fracture. Magnetic resonance imaging confirmed C6 vertebral osteomyelitis, demonstrated by vertebral body destruction, cervical spine instability, prevertebral abscess, and spinal cord compression. She underwent C6 anterior cervical corpectomy and fusion, with fungal cultures confirming Blastomyces dermatitidis.

Conclusions

Anterior cervical corpectomy and fusion successful debrided, decompressed, and restored cervical spine stability in a patient with vertebral osteomyelitis caused by Blastomyces dermatitidis. The patient was subsequently treated with a 1-year course of itraconazole and had no recurrence of infection 4 years postoperatively.

【 授权许可】

   
2015 Patel et al.

【 图 表 】

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