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Concomitant fungal and bacterial atlanto-axial osteomyelitis: a case report
Edmund Leung-kai Yau1, Ka-Kin Li
1Department of Orthopaedics and Traumatology, Queen Elizabeth Hospital, Kowloon, Hong Kong. edmundyau@yahoo.com
Abstract:
Concomitant fungal and bacterial atlanto-axial osteomyelitis in immunocompetent individuals is rare. We report one such patient who underwent transoral anterior decompression and posterior occipital cervical fusion, together with antibiotic and antifungal treatment. At 16-month follow-up, the patient had made a full recovery with solid fusion. Prompt diagnosis requires a high degree of clinical suspicion, with timely use of modern imaging modalities. When the diagnosis is early, antibiotic treatment alone should suffice.
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