A Rare Case of Pheohyphomycotic Lumbar Spondylodiscitis Mistreated as Koch’s Spine

Pheohyphomycosis is an uncommon infection and its association in spondylodiscitis has not yet been reported. The purpose of this case report is to describe a rare case of Pheohyphomycotic spondylodiscitis and methods to diagnose and manage the patient with less invasive techniques. A 29-year-old mal...

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Main Authors: Shakti A. Goel, Hitesh N. Modi, Yatin J. Desai, Harshal P. Thaker
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2016/8705204
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author Shakti A. Goel
Hitesh N. Modi
Yatin J. Desai
Harshal P. Thaker
author_facet Shakti A. Goel
Hitesh N. Modi
Yatin J. Desai
Harshal P. Thaker
author_sort Shakti A. Goel
collection DOAJ
description Pheohyphomycosis is an uncommon infection and its association in spondylodiscitis has not yet been reported. The purpose of this case report is to describe a rare case of Pheohyphomycotic spondylodiscitis and methods to diagnose and manage the patient with less invasive techniques. A 29-year-old male patient presented to the outpatient department with complaints of gradually increasing low back pain with bilateral lower limbs radicular pain since one and a half years. He had associated fever, weight loss, voice changes, and dry, scaly, erythematous skin with elevated ESR. The patient had been taking anti-Koch’s therapy since 1 year with little relief in pain and no radiological improvement. Percutaneous pedicle biopsy of L4 vertebra was taken under local anaesthesia and confirmed Pheohyphomycosis which was treated with antifungal medications. The patient showed sequential improvement with long term antifungal treatment. He was eventually able to walk independently without support.
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series Case Reports in Orthopedics
spelling doaj-art-0b64549d682746bc91af6f4a9b8926ed2025-02-03T01:33:22ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/87052048705204A Rare Case of Pheohyphomycotic Lumbar Spondylodiscitis Mistreated as Koch’s SpineShakti A. Goel0Hitesh N. Modi1Yatin J. Desai2Harshal P. Thaker3Department of Orthopaedics and Spine Surgery, Zydus Hospitals and Healthcare Research Pvt. Ltd., Thaltej, Ahmedabad, Gujarat, IndiaDepartment of Orthopaedics and Spine Surgery, Zydus Hospitals and Healthcare Research Pvt. Ltd., Thaltej, Ahmedabad, Gujarat, IndiaDepartment of Orthopaedics and Spine Surgery, Zydus Hospitals and Healthcare Research Pvt. Ltd., Thaltej, Ahmedabad, Gujarat, IndiaDr. Harshal Thaker’s Clinic, Ambawadi, Ahmedabad, Gujarat, IndiaPheohyphomycosis is an uncommon infection and its association in spondylodiscitis has not yet been reported. The purpose of this case report is to describe a rare case of Pheohyphomycotic spondylodiscitis and methods to diagnose and manage the patient with less invasive techniques. A 29-year-old male patient presented to the outpatient department with complaints of gradually increasing low back pain with bilateral lower limbs radicular pain since one and a half years. He had associated fever, weight loss, voice changes, and dry, scaly, erythematous skin with elevated ESR. The patient had been taking anti-Koch’s therapy since 1 year with little relief in pain and no radiological improvement. Percutaneous pedicle biopsy of L4 vertebra was taken under local anaesthesia and confirmed Pheohyphomycosis which was treated with antifungal medications. The patient showed sequential improvement with long term antifungal treatment. He was eventually able to walk independently without support.http://dx.doi.org/10.1155/2016/8705204
spellingShingle Shakti A. Goel
Hitesh N. Modi
Yatin J. Desai
Harshal P. Thaker
A Rare Case of Pheohyphomycotic Lumbar Spondylodiscitis Mistreated as Koch’s Spine
Case Reports in Orthopedics
title A Rare Case of Pheohyphomycotic Lumbar Spondylodiscitis Mistreated as Koch’s Spine
title_full A Rare Case of Pheohyphomycotic Lumbar Spondylodiscitis Mistreated as Koch’s Spine
title_fullStr A Rare Case of Pheohyphomycotic Lumbar Spondylodiscitis Mistreated as Koch’s Spine
title_full_unstemmed A Rare Case of Pheohyphomycotic Lumbar Spondylodiscitis Mistreated as Koch’s Spine
title_short A Rare Case of Pheohyphomycotic Lumbar Spondylodiscitis Mistreated as Koch’s Spine
title_sort rare case of pheohyphomycotic lumbar spondylodiscitis mistreated as koch s spine
url http://dx.doi.org/10.1155/2016/8705204
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