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Related Experiment Video

Updated: Apr 1, 2026

Monitoring Tumor Metastases and Osteolytic Lesions with Bioluminescence and Micro CT Imaging
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Lumbar Cryptococcal Osteomyelitis Mimicking Metastatic Tumor.

Hyun Seok Joo1, Jung-Ki Ha1, Chang Ju Hwang1

  • 1Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Asian Spine Journal
|October 6, 2015
PubMed
Summary

This case report highlights a rare instance of lumbar cryptococcosis, a fungal infection, in an immunocompetent patient. It mimics metastatic cancer, emphasizing the need for awareness in differential diagnosis.

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Area of Science:

  • Mycology
  • Infectious Diseases
  • Oncology

Background:

  • Cryptococcus is a yeast-like fungus typically causing infection in immunocompromised individuals.
  • Isolated vertebral fungal infections are uncommon, especially in immunocompetent hosts.
  • Metastatic cancer is a common cause of vertebral lesions.

Purpose of the Study:

  • To report a rare case of isolated lumbar vertebral cryptococcosis in an immunocompetent patient.
  • To discuss the diagnostic challenges posed by this fungal infection mimicking metastatic cancer.
  • To raise awareness among clinicians regarding this rare differential diagnosis.

Main Methods:

  • Case report of a 66-year-old female patient.
  • Diagnostic workup including imaging studies (presumed metastatic spine cancer).
Keywords:
CryptococcusLumbar vertebraeNeoplasm metastasisOsteomyelitis

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  • Surgical operation with subsequent pathological examination for definitive diagnosis.
  • Main Results:

    • The patient, despite no immunocompromise, presented with isolated lumbar vertebral cryptococcosis.
    • Pathological examination confirmed cryptococcal osteomyelitis, not metastatic cancer.
    • The patient had a history of treated rectal cancer.

    Conclusions:

    • Lumbar cryptococcosis can present as a rare mimic of vertebral metastatic cancer.
    • Clinicians should consider fungal infections in the differential diagnosis of vertebral lesions, even in immunocompetent patients.
    • Awareness of rare presentations of Cryptococcus is crucial for accurate diagnosis and timely treatment.