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

Autor: Sergio Charles-Lozoya, Gibran Ruíz-Zenteno, María E. Lizcano-Martínez, Héctor Cobos-Aguilar, Joél León-Ruíz, Jesús Domínguez-Delgado
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Medical Mycology Case Reports, Vol 42, Iss , Pp 100615- (2023)
Druh dokumentu: article
ISSN: 2211-7539
DOI: 10.1016/j.mmcr.2023.100615
Popis: 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.
Databáze: Directory of Open Access Journals