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A Case of Fungemia Caused by Postoperative Chronic Lumbar Intervertebral Disc Infection

Rui Zheng1,2, Taicheng Jin3, Rui Tao1,2

  • 1Department of Clinical Laboratory, Affiliated Hospital of Kunming University of Science and Technology, Xishan, Kunming, China 650032.

Case Reports in Surgery
|August 18, 2022
PubMed

Insights

Late-stage fungal surgical site infections are rare, especially in elderly patients. This case highlights a fungal osteomyelitis detected two years post-surgery, emphasizing the need for early detection to prevent harm.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Neurosurgery

Background:

  • Postoperative surgical site infection (SSI) is a significant complication following spine surgery.
  • Fungal SSIs are particularly challenging due to atypical presentations and delayed diagnosis.

Observation:

  • A senior patient presented with chronic, tolerable pain and discomfort two years after initial spine surgery.
  • The clinical presentation lacked typical symptoms of infection, delaying diagnosis.

Findings:

  • The patient was diagnosed with delayed postoperative chronic fungal osteomyelitis.
  • This represents a rare instance of fungal bloodstream infection stemming from a late-stage SSI.

Implications:

  • This case underscores the importance of considering fungal infections in the differential diagnosis of chronic, unexplained pain after spine surgery.
  • Further research is needed for early identification and intervention strategies to mitigate harm from rare fungal osteomyelitis.

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