Iliac bone Candida albicans osteomyelitis in a patient with iliac crest bone autograft: a case report and review of the literature
Yuste JR, Alfonso M, Bustos C, Quintana J, Rubio M, Villas C, Del Pozo JL.
Division of Infectious Diseases, Clinica Universidad de Navarra, Pamplona, Spain
Candida osteomyelitis is a well recognized but infrequent entity. We describe an interesting case of iliac bone C. albicans osteomyelitis as a result of a surgical trauma of an iliac bone for the auto-grafting of a fracture in the lumbar spine.
The peri-operative acquisition of Candida was by the inoculation of a yeast colonizing the skin. Remarkably, several risk factors described for Candida infection and candidemia were absent. The patient also presented with a local fistula. The iliac crest was the only bone affected and local pain was the only symptom present in our case. Diagnosis was made by multiple-specimen biopsy obtained by surgery. Treatment with fluconazole was successful.
CITATION Infection. 2012 Jun 16