白色念珠菌所致腰椎感染1例

IF 0.5 Q4 CLINICAL NEUROLOGY

Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-08-05 DOI:10.1016/j.inat.2025.102110

Jian Wang , Jianbiao Huang , Jie Chen , Dongping Wang , Qunwei Dong , Hui Zhu , Jianxin Zhang , Jianxian Luo

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引用次数: 0

摘要

由白色念珠菌引起的腰椎感染在临床上是一种罕见的疾病，通常表现为慢性腰痛。影像学检查和实验室检查相结合有助于准确诊断这种疾病。病例报告：一名75岁女性患者向医生报告，主诉腰痛、麻木和双下肢无力一个月。尽管接受了抗炎镇痛和神经营养治疗，但没有改善，患者偶尔出现高热和寒战。经手术干预及抗感染治疗后症状消失，效果满意。结论慢性腰痛是白色念珠菌引起的腰椎感染的特征性症状。病理活检仍然是其诊断的金标准。使用唑类药物保守治疗是有效的，而手术治疗仍有争议。

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Lumbar spine infection caused by candida albicans: A case report

Introduction

Lumbar spine infection caused by Candida albicans is a rare condition in clinical practice that often presents as chronic lower back pain. The combination of imaging and laboratory tests can aid in the accurate diagnosis of this disease.

Case report

A 75-year-old female patient reported to a physician with complaints of low back pain, numbness, and weakness in both lower extremities for one month. Despite receiving anti-inflammatory analgesia and nerve nutrition treatment, there was no improvement and the patient occasionally developed high fever and chills. After the surgical intervention and anti-infection treatment, the symptoms disappeared and the outcome was satisfactory.

Conclusion

Chronic low back pain is a characteristic symptom of lumbar spine infection caused by Candida albicans. Pathological biopsy remains the gold standard for its diagnosis. Conservative treatment using azoles is effective, while surgical management remains controversial.

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