Scientific publications

Iliac bone Candida albicans osteomyelitis in a patient with iliac crest bone autograft: a case report and review of the literature

Jun 16, 2012 | Magazine: Infection

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 2012 Jun 16