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Anterior cervical corpectomy and fusion for blastomycosis causing destruction of C6 vertebra: a case report

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Title: Anterior cervical corpectomy and fusion for blastomycosis causing destruction of C6 vertebra: a case report
Author(s): Patel, Kushal R.; Szczodry, Michal; Neckrysh, Sergey; Siemionow, Krzysztof
Subject(s): Blastomycosis Cervical spine Corpectomy Fungal infection Osteomyelitis
Abstract: Introduction: We describe a patient who had cervical spine osteomyelitis caused by Blastomyces dermatitidis that resulted in cord compression and cervical spine instability. Case presentation: A 25-year-old Hispanic woman presented with fever, sweats, neck pain, and an enlarging neck mass with purulent discharge after sustaining a C6 vertebral body fracture. Magnetic resonance imaging confirmed C6 vertebral osteomyelitis, demonstrated by vertebral body destruction, cervical spine instability, prevertebral abscess, and spinal cord compression. She underwent C6 anterior cervical corpectomy and fusion, with fungal cultures confirming Blastomyces dermatitidis. Conclusions: Anterior cervical corpectomy and fusion successful debrided, decompressed, and restored cervical spine stability in a patient with vertebral osteomyelitis caused by Blastomyces dermatitidis. The patient was subsequently treated with a 1-year course of itraconazole and had no recurrence of infection 4 years postoperatively.
Issue Date: 2015-11-25
Publisher: BioMed Central
Citation Info: Patel, Kushal R., Michal Szczodry, Sergey Neckrysh, and Krzysztof Siemionow. "Anterior cervical corpectomy and fusion for blastomycosis causing destruction of C6 vertebra: a case report." Journal of medical case reports 9, no. 1 (2015): 1. DOI: 10.1186/s13256-015-0762-x
Type: Article
Description: This is a copy of an article published in the Journal of Medical Case Reports. © 2015 Patel et al.
URI: http://hdl.handle.net/10027/21057
ISSN: 1752-1947
Date Available in INDIGO: 2016-08-18
 

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