Cryptococcus neoformans vertebral osteomyelitis

O. Gurevitz, A. Goldschmied-Reuven, C. Block, J. Kopolovic, Z. Farfel, D. Hassin

Research output: Contribution to journalComment/debate

22 Scopus citations

Abstract

A 67-year-old previously healthy woman presented with low back pain of 2 months duration and daily fever of 39°C for 3 weeks. CT scan showed a lytic lesion in the third lumbar vertebra and a small right lower lobe lung infiltrate with mediastinal lymphadenopathy. Culture of material obtained from open biopsy of the vertebra grew Cryptococcus neoformans var. neoformans, which was also demonstrated on histology. Cryptococcal antigen was detected in the patient's serum. Treatment with amphotericin B (1000 mg total dose) and oral 5-fluorocytosine, resulted in complete recovery and resolution of the chest X-ray findings with a follow-up of 2 years. Since this case, as well as most of the previously described cases of cryptococcal osteomyelitis, were in normal hosts, cryptococcal osteomyelitis should be considered in the differential diagnosis even in a normal host, and therefore, prior to possible invasive diagnostic procedures, cryptococcal antigen in the serum should be determined.

Original languageEnglish
Pages (from-to)315-318
Number of pages4
JournalMedical Mycology
Volume32
Issue number4
DOIs
StatePublished - 1 Jan 1994
Externally publishedYes

ASJC Scopus subject areas

  • Infectious Diseases

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