Source:http://linkedlifedata.com/resource/pubmed/id/14756487
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2004-2-3
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pubmed:abstractText |
Infection with the fungus Cryptococcus neoformans is seen predominantly in two forms: (a) pulmonary and (b) cerebromeningeal. Skeletal cryptococcosis is uncommon. There have been only occasional case reports of thoracic vertebral cryptococcosis presenting as cord compression. A young female had cervical lymphadenopathy diagnosed as tuberculosis by fine needle aspiration cytology (FNAC) and was on antitubercular therapy (ATT) for 5 months. She developed rapidly progressive paraparesis and imaging demonstrated a destructive vertebral body lesion involving T2-3 with a paraspinal abscess producing cord compression. A costotransversectomy with excision of the diseased bone and bone grafting was done. Histopathological examination revealed cryptococcosis. The patient was put on antifungal medication, but expired 2 weeks after surgery. Radiological, magnetic resonance imaging and surgical finding of vertebral cryptococcosis can mimic tuberculosis. The definite diagnosis of cryptococcosis depends upon microscopic identification of the organism. A high index of suspicion leading to early surgical confirmation and institution of anti fungal therapy is necessary to reduce the mortality and morbidity.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0268-8697
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
17
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
556-9
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:14756487-Adult,
pubmed-meshheading:14756487-Cryptococcosis,
pubmed-meshheading:14756487-Diagnosis, Differential,
pubmed-meshheading:14756487-Fatal Outcome,
pubmed-meshheading:14756487-Female,
pubmed-meshheading:14756487-Humans,
pubmed-meshheading:14756487-Magnetic Resonance Imaging,
pubmed-meshheading:14756487-Spinal Cord Compression,
pubmed-meshheading:14756487-Spinal Diseases,
pubmed-meshheading:14756487-Thoracic Vertebrae,
pubmed-meshheading:14756487-Tuberculosis, Spinal
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pubmed:year |
2003
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pubmed:articleTitle |
Vertebral cryptococcosis simulating tuberculosis.
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pubmed:affiliation |
Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
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pubmed:publicationType |
Journal Article,
Case Reports
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