直腸癌術後に発症した重症真菌性脊椎炎の1例

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  • A case of candidiasis spondylitis following surgery for rectal cancer.

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A 63-year-old man underwent low anterior resection of the rectum and cholecystectomy for rectal cancer and chlecystolithiasis on March 10, 1998. Since postoperative day (POD) 3, he had a high fever (>38°C). Blood and intravenous hyperalimentation catheter tip cultures and high serum β-D glucan (>300pg/ml) revealed candida infection. From POD 6 Fluconazole (400mg/day) was administered for 6 weeks, but he was diagnosed with candidasis spondylitis by CT, MRI, Ga scan for lumbago in July. After conservative therapy for 2 months, he underwent spondylitis surgery.

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