Abstract
The authors report two cases of Candida spondylitis. The first case was a 68-year-old woman who complained of sever lumbago. She had became unable to walk during the surgical treatment of the ileus, and she had diabetes mellitus. Pyogenic spondylitis in L2, 3 was suspected after physical examination, laboratary findings, and radiographic studies. The second case was an 83-year-old woman who complained of sever lumbago during treatment of pneumonia. She used 7 kinds of antibiotics. She showed almost the same findings as the first case in her L3, 4 level. The authors debrided the focuses of both patients and did anterior spinal fusion. Candida albicans was identified in their pathological specimens. Both patients were administered Fluconazole 200mg/day after operation, and started the rehabilitation of gait exercise. Pyogenic spondylitis had not recur at last follow-up. The possibility of fungal infection should be considered during treatment selection for pyogenic spondylitis, especially in the compromised patient.
