Spinal fungal abscess mimicking as potts spine

Spinal epidural abscess (SEA) is a rarest form of spinal infections and is characterized by the presence of pus in the space between the dura mater, and the osseoligamentous confines of the vertebral canal. This can cause spinal injury due to direct compression or local ischemia. The major etiology...

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Main Authors: Souvagya Panigrahi, Abhijit Acharya, Sarita Otta, Sumirini Puppala
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:International Journal of Mycobacteriology
Subjects:
Online Access:http://www.ijmyco.org/article.asp?issn=2212-5531;year=2023;volume=12;issue=3;spage=364;epage=366;aulast=Panigrahi
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author Souvagya Panigrahi
Abhijit Acharya
Sarita Otta
Sumirini Puppala
author_facet Souvagya Panigrahi
Abhijit Acharya
Sarita Otta
Sumirini Puppala
author_sort Souvagya Panigrahi
collection DOAJ
description Spinal epidural abscess (SEA) is a rarest form of spinal infections and is characterized by the presence of pus in the space between the dura mater, and the osseoligamentous confines of the vertebral canal. This can cause spinal injury due to direct compression or local ischemia. The major etiology of SEA is bacterial and tuberculous in endemic regions. The incidence of fungal spinal abscess is relatively low and <5% of SEA is attributable to fungi. We, here, report a case of 77-year-old known patient of chronic renal disease on hemodialysis that presented with low-back pain for 15 days and was subsequently diagnosed with SEA by magnetic resonance imaging, and causative organism was identified as Candida by culture. The abscess was surgically drained after laminectomy. The patient improved with surgery and antifungal treatment.
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spelling doaj.art-3394e59bed7748a381a018059ffd88102023-10-26T07:27:42ZengWolters Kluwer Medknow PublicationsInternational Journal of Mycobacteriology2212-55312212-554X2023-01-0112336436610.4103/ijmy.ijmy_115_23Spinal fungal abscess mimicking as potts spineSouvagya PanigrahiAbhijit AcharyaSarita OttaSumirini PuppalaSpinal epidural abscess (SEA) is a rarest form of spinal infections and is characterized by the presence of pus in the space between the dura mater, and the osseoligamentous confines of the vertebral canal. This can cause spinal injury due to direct compression or local ischemia. The major etiology of SEA is bacterial and tuberculous in endemic regions. The incidence of fungal spinal abscess is relatively low and <5% of SEA is attributable to fungi. We, here, report a case of 77-year-old known patient of chronic renal disease on hemodialysis that presented with low-back pain for 15 days and was subsequently diagnosed with SEA by magnetic resonance imaging, and causative organism was identified as Candida by culture. The abscess was surgically drained after laminectomy. The patient improved with surgery and antifungal treatment.http://www.ijmyco.org/article.asp?issn=2212-5531;year=2023;volume=12;issue=3;spage=364;epage=366;aulast=Panigrahicandida tropicalisfungal spinal epidural abscessspinal epidural abscessspinal infections
spellingShingle Souvagya Panigrahi
Abhijit Acharya
Sarita Otta
Sumirini Puppala
Spinal fungal abscess mimicking as potts spine
International Journal of Mycobacteriology
candida tropicalis
fungal spinal epidural abscess
spinal epidural abscess
spinal infections
title Spinal fungal abscess mimicking as potts spine
title_full Spinal fungal abscess mimicking as potts spine
title_fullStr Spinal fungal abscess mimicking as potts spine
title_full_unstemmed Spinal fungal abscess mimicking as potts spine
title_short Spinal fungal abscess mimicking as potts spine
title_sort spinal fungal abscess mimicking as potts spine
topic candida tropicalis
fungal spinal epidural abscess
spinal epidural abscess
spinal infections
url http://www.ijmyco.org/article.asp?issn=2212-5531;year=2023;volume=12;issue=3;spage=364;epage=366;aulast=Panigrahi
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AT saritaotta spinalfungalabscessmimickingaspottsspine
AT sumirinipuppala spinalfungalabscessmimickingaspottsspine