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Disseminated Fusarium oxysporum neurospinal infection
Authors:PE Sreedharan Namboothiri  Sreehari Narayanan Nair  Krishnan Vijayan  VK Visweswaran
Institution:Department of Orthopedics, Kovai Medical Center and Hospital Ltd., Coimbatore, Tamil Nadu, India;1.Department of Neurology, Kovai Medical Center and Hospital Ltd., Coimbatore, Tamil Nadu, India;2.Department of Microbiology, Kovai Medical Center and Hospital Ltd., Coimbatore, Tamil Nadu, India
Abstract:We report a case of disseminated meningospondylodiscitis in an elderly diabetic patient caused by Fusarium oxysporum. As the clinical presentation was nonspecific, the diagnosis of the condition could only be arrived at after laboratory and imaging studies. The diagnosis of the condition requires a high index of suspicion. Patient underwent thorough surgical debridement along with a short course of variconazole and remained asymptomatic after 36 months of diagnosis. Fusarium is a large genus of filamentous fungi widely distributed in soil and in association with plants. It is known to cause local infections (nail, cornea) in healthy humans and disseminated infection only in the immunocompromised.
Keywords:Disseminated fungal meningospondylodiscitis  Fusarium oxysporum  voriconazole
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