Vertebral coccidioidomycosis with mechanical instability treated solely with antifungals: A case report: A case report

Sergio Charles Lozoya; Gibran Ruiz Zenteno; María Lizcano Martínez; Héctor Cobos Aguilar; Joél León Ruíz; Jesús Domínguez Delgado

doi:10.1016/j.mmcr.2023.100615

Vertebral coccidioidomycosis with mechanical instability treated solely with antifungals: A case report: A case report

Sergio Charles Lozoya^*, Gibran Ruiz Zenteno, María Lizcano Martínez, Héctor Cobos Aguilar, Joél León Ruíz, Jesús Domínguez Delgado

^*Corresponding author for this work

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Abstract

Surgical treatment of vertebral coccidioidomycosis presents a challenge, with an unpredictable course and uncertain results. We present a 52-year-old man with disseminated infection due to coccidioidomycosis in the thoracolumbar spine, with vertebral instability, and deferral surgical treatment due to SARS-CoV-2 contingency.
Treatment with itraconazole was initiated, followed by liposomal amphotericin B and fluconazole due to a relapse. The patient was discharged long-term with voriconazole. The axial pain improved without neurological deficits. Surgical treatment was not required.

Original language	English
Article number	100615
Pages (from-to)	1-5
Number of pages	5
Journal	Medical Mycology Case Reports
Volume	42
DOIs	https://doi.org/10.1016/j.mmcr.2023.100615
Publication status	Published - 13 Nov 2023

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Publisher Copyright:
© 2023 The Author(s)

All Science Journal Classification (ASJC) codes

Microbiology
Infectious Diseases

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10.1016/j.mmcr.2023.100615

Vertebral coccidioidomycosis with mechanical instability treated solely with antifungals: A case report Final published version, 5.72 MBLicence: CC BY-NC-ND

Cite this

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title = "Vertebral coccidioidomycosis with mechanical instability treated solely with antifungals: A case report: A case report",

abstract = "Surgical treatment of vertebral coccidioidomycosis presents a challenge, with an unpredictable course and uncertain results. We present a 52-year-old man with disseminated infection due to coccidioidomycosis in the thoracolumbar spine, with vertebral instability, and deferral surgical treatment due to SARS-CoV-2 contingency.Treatment with itraconazole was initiated, followed by liposomal amphotericin B and fluconazole due to a relapse. The patient was discharged long-term with voriconazole. The axial pain improved without neurological deficits. Surgical treatment was not required. ",

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year = "2023",

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doi = "10.1016/j.mmcr.2023.100615",

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AU - Charles Lozoya, Sergio

AU - Ruiz Zenteno, Gibran

AU - Lizcano Martínez, María

AU - Cobos Aguilar, Héctor

AU - León Ruíz, Joél

AU - Domínguez Delgado , Jesús

PY - 2023/11/13

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N2 - Surgical treatment of vertebral coccidioidomycosis presents a challenge, with an unpredictable course and uncertain results. We present a 52-year-old man with disseminated infection due to coccidioidomycosis in the thoracolumbar spine, with vertebral instability, and deferral surgical treatment due to SARS-CoV-2 contingency.Treatment with itraconazole was initiated, followed by liposomal amphotericin B and fluconazole due to a relapse. The patient was discharged long-term with voriconazole. The axial pain improved without neurological deficits. Surgical treatment was not required.

AB - Surgical treatment of vertebral coccidioidomycosis presents a challenge, with an unpredictable course and uncertain results. We present a 52-year-old man with disseminated infection due to coccidioidomycosis in the thoracolumbar spine, with vertebral instability, and deferral surgical treatment due to SARS-CoV-2 contingency.Treatment with itraconazole was initiated, followed by liposomal amphotericin B and fluconazole due to a relapse. The patient was discharged long-term with voriconazole. The axial pain improved without neurological deficits. Surgical treatment was not required.

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Vertebral coccidioidomycosis with mechanical instability treated solely with antifungals: A case report: A case report

Abstract

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