{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:23Z","timestamp":1787755583918,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      We present a case of azole and partial caspofungin-resistant\n                      <jats:italic toggle=\"yes\">Candida albicans<\/jats:italic>\n                      spondylodiscitis, after bariatric surgery with bowel perforation. Treatment included debridement and several months of anidulafungin, complemented with antibacterial therapy because of relapse for bacterial superinfection. After treatment, the infection did not recur clinically or radiologically during one and half years follow-up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      Although\n                      <jats:italic toggle=\"yes\">C. albicans<\/jats:italic>\n                      spondylodiscitis is rare, fungi should be suspected as a causative agent. Adequate history, imaging and laboratory testing, and medical and surgical treatment should be performed to successfully eradicate the infection and resolve potential neurological deficits.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00618","type":"journal-article","created":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T11:53:31Z","timestamp":1596196411000},"page":"e19.00618-e19.00618","source":"Crossref","is-referenced-by-count":5,"title":["Azole-resistant Candida albicans Spondylodiscitis After Bariatric Surgery"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1018-0810","authenticated-orcid":false,"given":"Miguel","family":"Relvas-Silva","sequence":"first","affiliation":[{"name":"Orthopedics and Traumatology Unit, S\u00e3o Jo\u00e3o University Hospital Center, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1277-0638","authenticated-orcid":false,"given":"Andr\u00e9 Rodrigues","family":"Pinho","sequence":"additional","affiliation":[{"name":"Orthopedics and Traumatology Unit, S\u00e3o Jo\u00e3o University Hospital Center, Porto, Portugal"},{"name":"Unit of Anatomy, Department of Biomedicine, Faculty of Medicine, University of Porto\u2013Center for Health Technology and Services Research (CINTESIS), Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8033-362X","authenticated-orcid":false,"given":"Lu\u00edsa","family":"Vital","sequence":"additional","affiliation":[{"name":"Orthopedics and Traumatology Unit, S\u00e3o Jo\u00e3o University Hospital Center, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2411-1499","authenticated-orcid":false,"given":"Beatriz","family":"Le\u00e3o","sequence":"additional","affiliation":[{"name":"Infectious Disease Unit, S\u00e3o Jo\u00e3o University Hospital Center, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4140-6694","authenticated-orcid":false,"given":"Ant\u00f3nio Nogueira","family":"Sousa","sequence":"additional","affiliation":[{"name":"Orthopedics and Traumatology Unit, S\u00e3o Jo\u00e3o University Hospital Center, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3556-7440","authenticated-orcid":false,"given":"Ana Cl\u00e1udia","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Infectious Disease Unit, S\u00e3o Jo\u00e3o University Hospital Center, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2093-3679","authenticated-orcid":false,"given":"Vitorino","family":"Veludo","sequence":"additional","affiliation":[{"name":"Orthopedics and Traumatology Unit, S\u00e3o Jo\u00e3o University Hospital Center, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"11","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1302\/2058-5241.2.160062","article-title":"Spondylodiscitis revisited","volume":"2","author":"Mavrogenis","year":"2017","journal-title":"EFORT Open Rev."},{"issue":"5","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"319","DOI":"10.20344\/amp.6549","article-title":"Surgical treated spondylodiscitis epidemiological study [in Portuguese]","volume":"29","author":"Soares do Brito","year":"2016","journal-title":"Acta Med 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Infect."},{"issue":"31","key":"bib9-20230720","doi-asserted-by":"crossref","first-page":"e7525","DOI":"10.1097\/MD.0000000000007525","article-title":"Candida vertebral osteomyelitis (CVO) 28 cases from a 10-year retrospective study in France","volume":"96","author":"Richaud","year":"2017","journal-title":"Medicine (Baltimore)."},{"issue":"6","key":"bib10-20230720","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1016\/j.rbo.2015.04.016","article-title":"Fungal spondylodiscitis due to Candida albicans: an atypical case and review of the literature","volume":"50","author":"Kulcheski","year":"2015","journal-title":"Rev Bras Ortop."},{"issue":"6","key":"bib11-20230720","doi-asserted-by":"crossref","first-page":"e26","DOI":"10.1093\/cid\/civ482","article-title":"2015 Infectious Diseases Society of America (IDSA) clinical practice guidelines for the diagnosis and treatment of native vertebral osteomyelitis in 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Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00618","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}