Candidal Vertebral Osteomyelitis in the Midst of Renal Disorders DD03-DD05
Dr. Anusha Gopinathan,
Clincial Assistant Professor, Departmentof Microbiology, Amrita Institute of Medical Sciences,
AIMS Ponekkara, Edap-pally, Kochi, Kerala-682041, India.
Vertebral osteomyelitis also known as discitis/pyogenic spondylitis refers to inflammation of the vertebral disc space. It is commonly seen in men and adults more than 50 years of age. Fungal osteomyelitis is a rare scenario compared to its bacterial counterpart. Spinal epidural abscess is a dangerous complication associated with vertebral osteomyelitis. Here, we report two cases of vertebral osteomyelitis caused by Candida tropicalis in patients with renal disorders (stage 5 chronic kidney disease and nephropathy). One of the case discussed here presented with spinal epidural abscess. Both the patients were started on antifungal therapy. One patient responded to treatment while the other was lost to follow up.