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Summary
A rare fungal infection, extradural toruloma, was successfully treated in a patient with a history of pulmonary tuberculosis. Surgical excision and antifungal therapy led to a complete recovery and sustained symptom-free status for three years.
Area of Science:
- Neurology
- Infectious Diseases
- Neurosurgery
Background:
- A patient with a history of pulmonary tuberculosis developed an extradural toruloma in the lumbo-sacral region.
- Symptoms persisted for two years prior to diagnosis.
Observation:
- The presence of an extradural mass in the lumbo-sacral spine was identified.
- The patient had a prior diagnosis of pulmonary tuberculosis.
Findings:
- Surgical excision of the toruloma was performed.
- Initial treatment with Amphotericin B was discontinued due to adverse effects.
- Treatment was successfully substituted with Sulfa Soxizole.
Implications:
- This case highlights the successful management of a rare fungal spinal infection.
- It underscores the importance of considering opportunistic infections in immunocompromised patients.
- Complete recovery was achieved with a combination of surgical intervention and adjusted antifungal therapy.