Spinal Cryptococcosis Mimicking Tuberculous Spondylitis.
Cryptococcus neoformans , an opportunistic fungal pathogen, predominantly affects immunocompromised individuals, such as those with HIV/AIDS or on long-term corticosteroid therapy. A 50-year-old Indian male with longstanding diabetes mellitus presented with persistent left scapular pain. Initial man...
| Publicado en: | Indian Journal of Medical Specialities Vol. 17; no. 1; pp. 68 - 71 |
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| Autores principales: | , , , , |
| Formato: | case study diagnostic images pictorial Journal Article |
| Publicado: |
Wolters Kluwer India Pvt Ltd
Jan-Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191501745&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191501745 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09762884 B8EJ jtl: Indian Journal of Medical Specialities issn: 09762884 maglogo: N pubinfo: dt: Jan-Mar2026 vid: 17 iid: 1 pid: 16919 pub: Wolters Kluwer India Pvt Ltd artinfo: ui: 191501745 191501745 191501745 10.4103/injms.injms_211_25 191501745 ppf: 68 ppct: 3 formats: tig: atl: Spinal Cryptococcosis Mimicking Tuberculous Spondylitis. aug: au: Jumle, Nutan Gill, Satyajit Singh Vijayan, Vinita Bharose, Pooja Muralidharan, Shrikanth affil: Department of Pathology, Jehangir Hospital, Pune, Maharashtra, India sug: subj: Cryptococcosis Diagnosis Cryptococcosis Therapy Spine Pathology Spondylitis, Ankylosing Diagnosis Treatment Outcomes Male Middle Age India Cryptococcus Analysis Osteomyelitis Diagnosis Diabetes Mellitus Complications Fluconazole Therapeutic Use Laminectomy Methods Spinal Fusion Methods Tomography, X-Ray Computed Methods Biopsy Methods Histological Techniques Methods Granuloma Pathology Peripheral Nervous System Diseases Etiology Tuberculosis, Spinal Diagnosis Antitubercular Agents Therapeutic Use Diagnosis, Differential Spinal Cord Compression Diagnosis Pain Measurement Middle Aged: 45-64 years Male ab: Cryptococcus neoformans , an opportunistic fungal pathogen, predominantly affects immunocompromised individuals, such as those with HIV/AIDS or on long-term corticosteroid therapy. A 50-year-old Indian male with longstanding diabetes mellitus presented with persistent left scapular pain. Initial management with antitubercular therapy, based on a paravertebral cold abscess and granulomatous inflammation, led to worsening pain, bilateral lower limb weakness, and tingling extending to the toes. Computed tomography (CT) revealed lytic lesions involving the D1 and D2 vertebrae, ribs, and a prevertebral soft tissue mass causing spinal cord compression at T1–T2. Histopathology following corpectomy and spinal fusion confirmed C. neoformans through culture. Following surgical intervention, transition to antifungal therapy with oral fluconazole resulted in lesion resolution, significant pain reduction, and complete resolution of neurological symptoms within 12 weeks. pubtype: Academic Journal doctype: case study diagnostic images pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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