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CC BY-NC-ND 4.0 · Indian J Plast Surg 2021; 54(02): 232-234
DOI: 10.1055/s-0041-1731854
Case Report

Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports

Abdulwares Meiwandi
1   Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, Helios University Hospital Wuppertal, Wuppertal, Germany
,
Hubert Zirngibl
2   Division of Surgery II, Witten-Herdecke University, Wuppertal, Germany
,
Ahmet Bozkurt
1   Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, Helios University Hospital Wuppertal, Wuppertal, Germany
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Abstract

Candida osteochondromyelitis is a rare complication after thoracoabdominal surgery. We herein report two such cases after uncomplicated thoracoabdominal surgery, who presented with chronic postsurgical site infection and fistula. CT scans showed fistulas reaching the costochondral areas of the fifth rib. Inflammatory parameters were not elevated. Both patients were treated successfully after the initiation of systemic antimycotic treatment and surgical debridement. We conclude that C. albicans infections should always be considered in cases of chronic postoperative surgical site infections after thoracoabdominal surgery. Additional risk factors do not need to be present. Appropriate therapy consists of the application of systemic antimycotics and surgical debridement.

Keywords

candida albicans - osteomyelitis - sternum - ribs - surgical wound infection


Publication History

Article published online:
05 July 2021

© 2021. Association of Plastic Surgeons of India. 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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