Vertebral coccidioidomycosis with mechanical instability treated solely with antifungals: A case report.

Med Mycol Case Rep

Health Science Division, Unit of Spine Orthopedic Surgery, Hospital de Traumatología y Ortopedia No. 21, Instituto Mexicano del Seguro Social (IMSS), Av. José Ma. Pino Suárez y Juan Ignacio Ramón s/n, Centro, 64300, Monterrey, NL., Mexico.

Published: December 2023

Surgical treatment of vertebral coccidioidomycosis presents a challenge, with an unpredictable course and uncertain results. We present a 52-year-old man with disseminated infection due to coccidioidomycosis in the thoracolumbar spine, with vertebral instability, and deferral surgical treatment due to SARS-CoV-2 contingency. Treatment with itraconazole was initiated, followed by liposomal amphotericin B and fluconazole due to a relapse. The patient was discharged long-term with voriconazole. The axial pain improved without neurological deficits. Surgical treatment was not required. 2012 Elsevier Ltd. All rights reserved.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10656722PMC
http://dx.doi.org/10.1016/j.mmcr.2023.100615DOI Listing

Publication Analysis

Top Keywords

surgical treatment
12
vertebral coccidioidomycosis
8
coccidioidomycosis mechanical
4
mechanical instability
4
instability treated
4
treated solely
4
solely antifungals
4
antifungals case
4
case report
4
report surgical
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!