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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(03): 390-393
DOI: 10.1055/s-0040-1721845
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Candida parapsilosis Infection after Lumbosacral Arthrodesis with a PEEK TLIF Interbody Fusion Device: Case Report

Article in several languages: português | English
Marcelo Wajchenberg 
1   Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
2   Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Nelson Astur 
1   Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
3   Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil
,
Michel Kanas 
1   Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
2   Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
Thiago Zinsly Sampaio Camargo 
1   Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Sérgio Barsanti Wey
1   Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Délio Eulalio Martins 
1   Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
4   Universidade Anhembi Morumbi, São Paulo, SP, Brasil
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Abstract

Spondylodiscitis is an uncommon but serious complication after spine surgeries, and its main etiologic agent is Staphylococcus aureus. Fungal infections are rare and mostly caused by Candida albicans. We report the clinical case of a 69-year-old male patient who underwent a L2-S1 arthrodesis for degenerative scoliosis correction. He presented an infection 2.5 months after the procedure, a spondylodiscitis at L5-S1 levels, caused by Candida parapsilosis. The treatment consisted of surgical material removal, tricortical iliac graft placement in an anterior approach (L5-S1), lumbopelvic fixation (from T10 to the pelvis) in a posterior approach, and drug treatment with anidulafungin and fluconazole. This last medication was administered for 12 months, with good clinical outcomes.

Keywords

fungal infections - spondylodiscitis - Candida parapsilosis

Study developed at Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.




Publication History

Received: 27 May 2020

Accepted: 16 September 2020

Article published online:
31 March 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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