Iliac bone Candida albicans osteomyelitis in a patient with iliac crest bone autograft: a case report and review of the literature

Abstract

Candida osteomyelitis is a well recognized but infrequent entity. We describe an interesting case of iliac bone C. albicans osteomyelitis as a result of a surgical trauma of an iliac bone for the auto-grafting of a fracture in the lumbar spine. The peri-operative acquisition of Candida was by the inoculation of a yeast colonizing the skin. Remarkably, several risk factors described for Candida infection and candidemia were absent. The patient also presented with a local fistula. The iliac crest was the only bone affected and local pain was the only symptom present in our case. Diagnosis was made by multiple-specimen biopsy obtained by surgery. Treatment with fluconazole was successful.

Treatment of fracture-related infection of the lower extremity with antibiotic-eluting ceramic bone substitutes: case series of 35 patients and literature review

“…Despite innovative treatment protocols developed during the last decades, posttraumatic fracture-related infection (FRI) is still associated with tremendous patient-related and socioeconomic issues in the clinical setting [1][2][3][4][5].…”