Discitis osteomyelitis L2/3 - Candida

Case contributed by A.Prof Frank Gaillard
Modality: MRI

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Case Discussion

Patient with chronic discitis osteomyelitis due to chronic infection with Candida albicans. 

Pathology

Spinal column, L2-3: Fungal microorganisms identified, consistent with Candida.

Microscopic Description: 

Sections show the specimen to consist of pieces of cartilage, including cartilage end-plate, lamellar bone, paravertebral soft tissue including skeletal muscle, adipose tissue, and a portion of peripheral nerve. Acute, subacute and chronic inflammation is observed. Granulation tissue is evident. Degenerative and reactive changes are also seen. The methenamine silver stained sections confirm the presence of fungal microorganisms that display yeast-like forms with focal budding. Hyphae are also seen. The appearance is consistent with Candida. Some cystic structures contain small Gram-negative structures that could represent degenerative bacteria, or degenerate material showing calcification. Microorganisms are not identified in the ZN-stained sections. There is no evidence of metastatic carcinoma in this material.

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Case Information

rID: 7197
Case created: 16th Sep 2009
Last edited: 5th Dec 2015
Inclusion in quiz mode: Included

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