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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Wiley
2016-01-01
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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. |
format | Article |
id | doaj-art-0b64549d682746bc91af6f4a9b8926ed |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2016-01-01 |
publisher | Wiley |
record_format | Article |
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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