Korean J Med.  2015 Apr;88(4):475-479. 10.3904/kjm.2015.88.4.475.

A Case of Polymicrobial Fungal and Bacterial Spondylodiscitis

Affiliations
  • 1Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. imfell@yuhs.ac
  • 2Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Abstract

A 66-year-old female who had undergone surgery for a herniated disc at the L5-S1 level at another hospital 3 months earlier was admitted with persistent back and leg pain. She was diagnosed with spondylodiscitis at the L5-S1 level by magnetic resonance imaging. A biopsy was performed, and Candida parapsilosis and Enterococcus faecium were isolated from the excised material. We report herein a case of successful treatment of polymicrobial spondylodiscitis in accordance with accurate microbiological diagnosis. Based on this case, we hope to encourage physicians to perform biopsies more aggressively or repeatedly to improve the diagnostic yield.

Keyword

Spondylodiscitis; Polymicrobial infection; Candida parapsilosis; Enterococcus faecium

MeSH Terms

Aged
Biopsy
Candida
Coinfection
Diagnosis
Discitis*
Enterococcus faecium
Female
Hope
Humans
Intervertebral Disc Displacement
Leg
Magnetic Resonance Imaging
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