Surgical Strategy for Spondylodiscitis Due to Candida Albicans in an Immunocompromised Host
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概要
- 論文の詳細を見る
A 44-year-old woman receiving systemic chemotherapy for cerebellar medulloblastoma developed thoracolumbar spondylodiscitis due to Candida albicans associated with abscesses in the bilateral psoas muscles. As long-term medical therapy with fluconazole was not effective, radical removal of the affected lesions and anterior bone grafting were performed. Corpectomy of the infected vertebra with autologous bone grafting and removal of the psoas muscle were performed via the right transthoracic retroperitoneal approach. Additional posterior instrumentation was not used. Two years after the operation, the patient was doing well, and systemic chemotherapy for medulloblastoma has restarted. Corpectomy with radical resection of surrounding infectious tissues for C. albicans spondylodiscitis in an immunocompromised host should be performed when conservative medical treatment is not successful. Further instrumentation surgery might be necessary to prevent further deformity of the spine as the second surgery.
- 日本脳神経外科学会の論文
- 2002-07-15
著者
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横山 徹夫
浜松医科大学脳神経外科
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横山 徹夫
浜岡総合病院 脳神経外科
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横山 徹夫
市立御前崎総合病院 脳神経外科
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太田 誠志
浜松医科大学 脳神経外科
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NISHIZAWA Shigeru
Department of Neurosurgery, University of Occupational and Environmental Health
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YOKOYAMA Tetsuo
Department of Neurosurgery, Hamamatsu University School of Medicine
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YOKOTA Naoki
Department of Neurosurgery, Hamamatsu University School of Medicine
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横山 徹夫
浜松医科大学脳外科
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OHTA Seiji
Department of Neurosurgery, Hamamatsu University School of Medicine
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TOKUYAMA Tsutomu
Department of Neurosurgery, Hamamatsu University School of Medicine
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NAMBA Hiroki
Department of Neurosurgery, Hamamatsu University School of Medicine
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Nishizawa Shigeru
Department Of Neurosurgery University Of Occupational And Environmental Health
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Nishizawa Shigeru
Department Of Neurosurgery Hamamatsu University School Of Medicine
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Nishizawa Shigeru
Departments Of Neurosurgery
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Ohta Seiji
Departments Of Neurosurgery Hamamatsu University School Of Medicine
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Namba Hiroki
Department Of Neurosurgery Hamamatsu University School Of Medicine
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Namba Hiroki
Department Of Neurological Surgery School Of Medicine Chiba University
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Yokota Naoki
Department Of Neurosurgery Hamamatsu University School Of Medicine
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Yokoyama Tetsuo
Department Of Neurosurgery Hamamatsu University School Of Medicine
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Tokuyama Tsutomu
Department Of Neurosurgery Hamamatsu University School Of Medicine
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