Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports

Candida osteochondromyelitis is a rare complication after thoracoabdominal surgery. We herein report two such cases after uncomplicated thoracoabdominal surgery, who presented with chronic postsurgical site infection and fistula. CT scans showed fistulas reaching the costochondral areas of the fifth...

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Main Authors: Abdulwares Meiwandi, Hubert Zirngibl, Ahmet Bozkurt
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021-04-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731854
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author Abdulwares Meiwandi
Hubert Zirngibl
Ahmet Bozkurt
author_facet Abdulwares Meiwandi
Hubert Zirngibl
Ahmet Bozkurt
author_sort Abdulwares Meiwandi
collection DOAJ
description Candida osteochondromyelitis is a rare complication after thoracoabdominal surgery. We herein report two such cases after uncomplicated thoracoabdominal surgery, who presented with chronic postsurgical site infection and fistula. CT scans showed fistulas reaching the costochondral areas of the fifth rib. Inflammatory parameters were not elevated. Both patients were treated successfully after the initiation of systemic antimycotic treatment and surgical debridement. We conclude that C. albicans infections should always be considered in cases of chronic postoperative surgical site infections after thoracoabdominal surgery. Additional risk factors do not need to be present. Appropriate therapy consists of the application of systemic antimycotics and surgical debridement.
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1998-376X
language English
publishDate 2021-04-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-b82a24aec982400faa0eb1ba4ee52d352025-08-20T02:19:11ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2021-04-01540223223410.1055/s-0041-1731854Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case ReportsAbdulwares Meiwandi0Hubert Zirngibl1Ahmet Bozkurt2Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, Helios University Hospital Wuppertal, Wuppertal, GermanyDivision of Surgery II, Witten-Herdecke University, Wuppertal, GermanyDepartment of Plastic, Reconstructive, Aesthetic and Hand Surgery, Helios University Hospital Wuppertal, Wuppertal, GermanyCandida osteochondromyelitis is a rare complication after thoracoabdominal surgery. We herein report two such cases after uncomplicated thoracoabdominal surgery, who presented with chronic postsurgical site infection and fistula. CT scans showed fistulas reaching the costochondral areas of the fifth rib. Inflammatory parameters were not elevated. Both patients were treated successfully after the initiation of systemic antimycotic treatment and surgical debridement. We conclude that C. albicans infections should always be considered in cases of chronic postoperative surgical site infections after thoracoabdominal surgery. Additional risk factors do not need to be present. Appropriate therapy consists of the application of systemic antimycotics and surgical debridement.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731854candida albicansosteomyelitissternumribssurgical wound infection
spellingShingle Abdulwares Meiwandi
Hubert Zirngibl
Ahmet Bozkurt
Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports
Indian Journal of Plastic Surgery
candida albicans
osteomyelitis
sternum
ribs
surgical wound infection
title Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports
title_full Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports
title_fullStr Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports
title_full_unstemmed Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports
title_short Candida albicans Osteochondromyelitis after Gastroesophageal Surgery: Two Case Reports
title_sort candida albicans osteochondromyelitis after gastroesophageal surgery two case reports
topic candida albicans
osteomyelitis
sternum
ribs
surgical wound infection
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731854
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AT hubertzirngibl candidaalbicansosteochondromyelitisaftergastroesophagealsurgerytwocasereports
AT ahmetbozkurt candidaalbicansosteochondromyelitisaftergastroesophagealsurgerytwocasereports