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Fusarium falciforme vertebral abscess and osteomyelitis: case report and molecular classification
Srilatha Edupuganti1, Nadine Rouphael, Aneesh Mehta
1Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia 30030, USA. sedupug@emory.edu
Abstract:
Fusarium is a ubiquitous mold that can cause superficial infections such as keratitis and onychomycosis in immunocompetent humans; however, infections in immunocompromised hosts can be fatal. We report an unusual case of epidural abscess and vertebral osteomyelitis in a patient with an autoimmune disorder who was on long-term glucocorticoids. Multilocus DNA sequence-based typing revealed that the infection was caused by a novel three-locus haplotype of Fusarium falciforme designated FSSC 3+4qqq.
Insights
Fusarium falciforme caused a rare epidural abscess and vertebral osteomyelitis in an immunocompromised patient. DNA typing identified a novel three-locus haplotype, FSSC 3+4qqq, as the causative agent.
Area of Science:
- Mycology
- Infectious Diseases
- Clinical Microbiology
Background:
- Fusarium species are common molds causing superficial infections in healthy individuals.
- In immunocompromised patients, Fusarium infections can become severe and life-threatening.
- Autoimmune disorders and long-term glucocorticoid therapy increase susceptibility to invasive fungal infections.
Observation:
- A patient with an autoimmune disorder on long-term glucocorticoids developed an epidural abscess and vertebral osteomyelitis.
- The clinical presentation was unusual for a Fusarium infection, typically limited to superficial sites.
Findings:
- Multilocus DNA sequence-based typing was employed for pathogen identification.
- The causative agent was identified as Fusarium falciforme.
- A novel three-locus haplotype, designated FSSC 3+4qqq, was discovered for this Fusarium falciforme strain.
Implications:
- This case highlights the potential for Fusarium species to cause deep-seated, invasive infections in immunocompromised hosts.
- The identification of a novel haplotype underscores the importance of molecular typing for accurate fungal identification and epidemiological tracking.
- Understanding the genetic diversity of Fusarium species is crucial for diagnosing and managing invasive infections.
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