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

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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