Candida albicans spinal epidural abscess secondary to prosthetic valve endocarditis
Journal
Diagnostic Microbiology and Infectious Disease
Journal Volume
40
Journal Issue
3
Pages
121-123
Date Issued
2001
Author(s)
Abstract
A 56-year-old woman, with underlying rheumatic heart disease status post mitral valve replacement, presented with fever, low back pain radiating to right leg, and congestive heart failure. Magnetic resonance imaging detected an L5-S1 spinal epidural abscess. A vegetation on prosthetic mitral valve was found by transesophageal echocardiography. Cultures of epidural aspirate, surgical specimen, and blood all grew Candida albicans. She received surgical drainage of the spinal epidural abscess and i.v. amphotericin B 1 mg/kg/day for eight weeks. Clinical symptoms improved gradually and she was discharged without neurologic sequelae. She remained well and continued to lead an active life two years after discharge. ? 2001 Elsevier Science Inc. All rights reserved.
SDGs
Other Subjects
amphotericin B; fluconazole; article; bacterial endocarditis; Candida albicans; congestive heart failure; controlled study; epidural abscess; fever; fungus culture; heart valve prosthesis; human; leg; low back pain; mitral valve replacement; nuclear magnetic resonance imaging; priority journal; rheumatic heart disease; surgical drainage; transesophageal echocardiography; vegetation; Amphotericin B; Candida albicans; Candidiasis; Endocarditis; Epidural Abscess; Female; Fluconazole; Follow-Up Studies; Heart Valve Prosthesis; Humans; Lumbar Vertebrae; Middle Aged; Spondylolisthesis; Treatment Outcome
Type
journal article
File(s)![Thumbnail Image]()
Loading...
Name
13.pdf
Size
120.15 KB
Format
Adobe PDF
Checksum
(MD5):67c500318cb0cfd7fd0f153cfa58c9b6