Aspergilloma Superinfection in the Spinal Canal of an 18-Year-Old Man: A Case Report.
Journal
JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828
Informations de publication
Date de publication:
01 Jul 2024
01 Jul 2024
Historique:
medline:
31
8
2024
pubmed:
31
8
2024
entrez:
29
8
2024
Statut:
epublish
Résumé
An 18-year-old immunocompetent man presented with symptomatic lumbar canal stenosis, discharging sinuses, and cold abscess for 3 years treated with multiple incision drainage procedures with cottonoid packing antibiotic therapy. Radiographic imaging showed a soft tissue mass in the canal causing bony destruction. Postoperative histopathological examination showed an Aspergillus fungal ball. Patient showed improvement at 6-month follow-up with medical management. As far as we know, this is the first case report showing an aspergilloma involving the vertebral column. Inadequate antibiotic treatment and blind introduction of a foreign body into sinus tracts can lead to fungal infections mimicking tuberculosis, causing disastrous outcomes. Fungal cultures are recommended routinely.
Identifiants
pubmed: 39208148
doi: 10.2106/JBJS.CC.24.00190
pii: 01709767-202409000-00040
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.
Déclaration de conflit d'intérêts
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C423).
Références
Bongomin F. Post-tuberculosis chronic pulmonary aspergillosis: an emerging public health concern. In: Chowdhary A, ed. PLOS Pathogens.Vol Vol 16; 2020. e1008742.
Page ID, Byanyima R, Hosmane S, Onyachi N, Opira C, Richardson M, Sawyer R, Sherman A, Denning DW. Chronic pulmonary aspergillosis commonly complicates treated pulmonary tuberculosis with residual cavitation. Eur Respir J. 2019;53(3):1801184.
Setianingrum F, Rozaliyani A, Adawiyah R, Syam R, Tugiran M, Sari CYI, Nandipinto F, Ramnath J, Arifin AR, Handayani D, Burhan E, Rumende M, Wahyuningsih R, Rautemaa-Richardson R, Denning DW. A prospective longitudinal study of chronic pulmonary aspergillosis in pulmonary tuberculosis in Indonesia (APICAL). Thorax. 2022;77(8):821-8.
Raju S, Muthu C, Reddy SKVN, Thangamani V, Jeyashankaran BKR, Sambandam A. Thoracic fungal osteomyelitis with compressive myelopathy in an immunocompetent individual by a rare Fusarium species: a case report. J Orthopedics Joint Surg. 2021;3(2):91-4.
Goel SA, Modi HN, Desai YJ, Thaker HP. A rare case of pheohyphomycotic lumbar spondylodiscitis mistreated as Koch's spine. Case Rep Orthopedics. 2016;2016. 8705204.
Jong WonKwon, Hong SungHwan, Choi SH, Young CheolYoon, Lee SungHoon. MRI findings of Aspergillus spondylitis. AJR Am J Roentgenol. 2011;197(5):W919-23.
Merino P, Candel FJ, Gestoso I, Baos E, Picazo J. Microbiological diagnosis of spinal tuberculosis. Int Orthopaedics. 2012;36(2):233-8.
Buchelt M, Lack W, Kutschera HP, Katterschafka T, Kiss H, Schneider B, Kotz R. Comparison of tuberculous and pyogenic spondylitis. An analysis of 122 cases. Clin Orthopaedics Relat Res. 296, 1993;(296):192-9.
Kim CJ, Kim EJ, Song KH, Choe PG, Park WB, Bang JH, Kim ES, Park SW, Kim HB, Oh MD, Kim NJ. Comparison of characteristics of culture-negative pyogenic spondylitis and tuberculous spondylitis: a retrospective study. BMC Infect Dis. 2016;16(1):560.
Francis IM, Das DK, Luthra UK, Sheikh Z, Sheikh M, Bashir M. Value of radiologically guided fine needle aspiration cytology (FNAC) in the diagnosis of spinal tuberculosis: a study of 29 cases. Cytopathology. 1999;10(6):390-401.
Lu M, Chen W, Lei Z, Dai S, Hou C, Du S, Geake J, Bhurayanontachai R, Karamchand S, Chan ED, Jin Q, Li H. Image-guided percutaneous biopsy and pathological diagnosis in atypical tuberculous spondylitis: a case series and clinical outcomes. Ann Translational Med. 2022;10(20):1140.
Lee CM, Lee Y, Kang SJ, Kang CK, Choe PG, Song KH, Park WB, Kim ES, Jung SI, Kim HB, Oh MD, Park KH, Kim NJ. Positivity rates of mycobacterial culture in patients with tuberculous spondylitis according to methods and sites of biopsies: an analysis of 206 cases. Int J Infect Dis. 2022;121:161-5.
Colmenero J, Jiménez-Mejías ME, Reguera JM, Palomino-Nicás J, Ruiz-Mesa JD, Márquez-Rivas J, Lozano A, Pachón J. Tuberculous vertebral osteomyelitis in the new millennium: still a diagnostic and therapeutic challenge. Eur J Clin Microbiol Infect Dis. 2004;23(6):477-83.
Al Zahrani K, Al Jahdali H, Poirier L, René P, Menzies D. Yield of smear, culture and amplification tests from repeated sputum induction for the diagnosis of pulmonary tuberculosis. Int J Tuberculosis Lung Dis. 2001;5(9):855-60.
Gamaletsou MN, Rammaert B, Bueno MA, Moriyama B, Sipsas NV, Kontoyiannis DP, Roilides E, Zeller V, Prinapori R, Taj-Aldeen SJ, Brause B, Lortholary O, Walsh TJ. Aspergillus osteomyelitis: epidemiology, clinical manifestations, management, and outcome. J Infect. 2014;68(5):478-93.
Koehler P, Tacke D, Cornely OA. Aspergillosis of bones and joints - a review from 2002 until today. Mycoses. 2014;57(6):323-35.
Perna A, Ricciardi L, Fantoni M, Taccari F, Torelli R, Santagada DA, Fumo C, Tamburrelli FC, Proietti L. Spontaneous vertebral aspergillosis, the state of art: a systematic literature review. Neurospine. 2021;18(1):23-33.
Gabrielli E, Fothergill AW, Brescini L, Sutton DA, Marchionni E, Orsetti E, Staffolani S, Castelli P, Gesuita R, Barchiesi F. Osteomyelitis caused by Aspergillus species: a review of 310 reported cases. Clin Microbiol Infect. 2014;20(6):559-65.
Chakraborty RK, Gilotra TS, Tobin EH, Baradhi KM. Aspergilloma. 2021 [cited 2024 Jun 26]; Available from: https://pubmed.ncbi.nlm.nih.gov/31536274/
Garcia-Rubio R, Alcazar-Fuoli L. Diseases Caused by Aspergillus fumigatus [Internet]. ScienceDirect. Elsevier; 2018. [cited 2024 Jun 26] Available at: https://www.sciencedirect.com/science/article/abs/pii/B9780128096338120783
Şahin S, Atabey C, Şimşek M, Naderi S. Spinal textiloma (gossypiboma): a report of three cases misdiagnosed as tumour. Balkan Med J. 2013;30(4):422-8.
Turgut M, Akhaddar A, Turgut AT. Retention of nonabsorbable hemostatic materials (retained surgical sponge, gossypiboma, textiloma, gauzoma, muslinoma) after spinal surgery: a systematic review of cases reported during the last half-century. World Neurosurg. 2018;116:255-67.
Dai G, Wang T, Yin C, Sun Y, Xu D, Wang Z, Luan L, Hou J, Li S. Aspergillus spondylitis: case series and literature review. BMC Musculoskelet Disord. 2020;21(1):572.
Patterson T, Thompson G III, Denning D, Fishman J, Hadley S, Herbrecht R, Kontoyiannis DP, Marr KA, Morrison VA, Nguyen MH, Segal BH, Steinbach WJ, Stevens DA, Walsh TJ, Wingard JR, Young JAH, Bennett JE. Executive summary: practice guidelines for the diagnosis and management of aspergillosis: 2016 update by the infectious diseases society of America. Clin Infect Dis. 2016;63(4). 433, 42.
Garcia-Vidal C, Alastruey-Izquierdo A, Aguilar-Guisado M, Carratalà J, Castro C, Fernández-Ruiz M. Executive summary of clinical practice guideline for the management of invasive diseases caused by Aspergillus: 2018 Update by the GEMICOMED-SEIMC/REIPI. Enferm Infecc Microbiol Clinica (Engl Ed). 2018;37(8):535-541.
Yang H, Shah AA, Nelson SB, Schwab JH. Fungal spinal epidural abscess: a case series of nine patients. Spine J. 2019;19(3):516-22.
Herbrecht R, Denning DW, Patterson TF, Bennett JE, Greene RE, Oestmann Jörg-W, Kern WV, Marr KA, Ribaud P, Lortholary O, Sylvester R, Rubin RH, Wingard JR, Stark P, Durand C, Caillot D, Thiel E, Chandrasekar PH, Hodges MR, Schlamm HT, Troke PF, de Pauw B., Invasive Fungal Infections Group of the European Organisation for Research and Treatment of Cancer and the Global Aspergillus Study Group. Voriconazole versus amphotericin B for primary therapy of invasive aspergillosis. New Engl J Med. 2002;347(6):408-15.
Herbrecht R, Patterson TF, Slavin MA, Marchetti O, Maertens J, Johnson EM, Schlamm HT, Donnelly JP, Pappas PG. Application of the 2008 definitions for invasive fungal diseases to the trial comparing voriconazole versus amphotericin B for therapy of invasive aspergillosis: a collaborative study of the mycoses study group (MSG 05) and the European organization for research and treatment of cancer infectious diseases group. Clin Infect Dis. 2015;60(5):713-20.
Koutserimpas C, Chamakioti I, Naoum S, Raptis K, Alpantaki K, Kofteridis DP, Samonis G. Spondylodiscitis caused by Aspergillus species. Diagnostics. 2021;11(10):1899.
Jung NY, Jee WH, Ha KY, Park CK, Byun JY. Discrimination of tuberculous spondylitis from pyogenic spondylitis on MRI. AJR Am J Roentgenol. 2004;182(6):1405-10.
Mathew RP, Thomas B, Basti RS, Suresh HB. Gossypibomas, a surgeon's nightmare—patient demographics, risk factors, imaging and how we can prevent it. Br J Radiol. 2017;90(1070):20160761.
Kim HS, Chung TS, Suh SH, Kim SY. MR imaging findings of paravertebral gossypiboma. AJNR Am J Neuroradiol. 2007;28(4):709-13.
Kuwashima S, Yamato M, Fujioka M, Ishibashi M, Kogure H, Tajima Y. MR findings of surgically retained sponges and towels: report of two cases. Radiat Med. 1993;11(3):98-101.
Kopka L, Fischer U, Gross AJ, Funke M, Oestmann JW, Grabbe E. CT of retained surgical sponges (Textilomas): pitfalls in detection and evaluation. J Comput Assist Tomography. 1996;20(6):919-23.
Lu Y, Cheung YC, Ko SF, Ng SH. Calcified reticulate rind sign: a characteristic feature of gossypiboma on computed tomography. World J Gastroenterol. 2005;11(31):4927-9.
Scully EP, Baden LR, Katz JT. Fungal brain infections. Curr Opin Neurol. 2008;21(3):347-52.
Ribeiro Memória João, Lopes P, Lukas P, Vaz F, Maranhão Neto Túlio, Negri K. Brain aspergilloma in an immunocompetent individual: a case report. Surg Neurol Int. 2020;11:211-1.
Nabika S, Kiya K, Satoh H, Mizoue T, Araki H, Oshita J. Local administration of amphotericin B against aspergilloma in the prepontine cistern--case report. Neurol Med Chir (Tokyo). 2007;47(2):89-92.
Lu M. Imaging diagnosis of spinal intramedullary tuberculoma: case reports and literature review. J Spinal Cord Med. 2010;33(2):159-62.
Gärtner F, Forstenpointner J, Ertl-Wagner B, Hooshmand B, Riedel C, Jansen O. CT and MRI findings in cerebral aspergilloma. RoFo. 2018;190(10):967-70.
Perez-Malagon CD, Barrera-Rodriguez R, Lopez-Gonzalez MA, Alva-Lopez LF. Diagnostic and neurological overview of brain tuberculomas: a review of literature. Cureus. 2021;13(12):e20133.
Deogaonkar M, Das S. Isolated spinal intramedullary tuberculoma in a healthy immunocompetent adult. Int J Infect Dis IJID. 2006;10(3):266-7.