caa a22 4500 47583092X CHVBK 20180406123839.0 cr unu---uuuuu 170329e20000201xx s 000 0 eng 10.1007/s100960050013 doi (NATIONALLICENCE)springer-10.1007/s100960050013 Candida tropicalis Vertebral Osteomyelitis Complicating Epidural Catheterisation with Disease Paralleled by Elevated D-Arabinitol/L-Arabinitol Ratios [Elektronische Daten] [D. P. Eisen, R. MacGinley, B. Christensson, L. Larsson, M. L. Woods]  Deep-seated Candida infections are challenging to diagnose by noninvasive means, and new modalities are needed to improve the yield of such investigations. Reported here is a case of Candida tropicalis vertebral osteomyelitis complicating epidural catheterisation in a diabetic patient with complicated abdominal sepsis. The diagnosis was supported by detection of increased D-arabinitol/L-arabinitol ratios in urine samples, and failure of medical management was indicated by elevated D-arabinitol/L-arabinitol ratios, which later decreased to baseline with successful surgical debridement and prolonged antifungal therapy. Springer-Verlag Berlin Heidelberg, 2000 Eisen D. P. Infectious Diseases Unit, Royal Brisbane Hospital, Herston Road, Herston, Queensland 4029, Australia e-mail: eisend@health.qld.gov.au, AU aut MacGinley R. Infectious Diseases Unit, Royal Brisbane Hospital, Herston Road, Herston, Queensland 4029, Australia e-mail: eisend@health.qld.gov.au, AU aut Christensson B. Department of Infectious Diseases and Medical Microbiology, Lund University Hospital, 22185 Lund, Sweden, SE aut Larsson L. Department of Infectious Diseases and Medical Microbiology, Lund University Hospital, 22185 Lund, Sweden, SE aut Woods M. L. Infectious Diseases Unit, Royal Brisbane Hospital, Herston Road, Herston, Queensland 4029, Australia e-mail: eisend@health.qld.gov.au, AU aut https://doi.org/10.1007/s100960050013 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s100960050013 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Eisen D. P. Infectious Diseases Unit, Royal Brisbane Hospital, Herston Road, Herston, Queensland 4029, Australia e-mail: eisend@health.qld.gov.au, AU aut NATIONALLICENCE 700 1- MacGinley R. Infectious Diseases Unit, Royal Brisbane Hospital, Herston Road, Herston, Queensland 4029, Australia e-mail: eisend@health.qld.gov.au, AU aut NATIONALLICENCE 700 1- Christensson B. Department of Infectious Diseases and Medical Microbiology, Lund University Hospital, 22185 Lund, Sweden, SE aut NATIONALLICENCE 700 1- Larsson L. Department of Infectious Diseases and Medical Microbiology, Lund University Hospital, 22185 Lund, Sweden, SE aut NATIONALLICENCE 700 1- Woods M. L. Infectious Diseases Unit, Royal Brisbane Hospital, Herston Road, Herston, Queensland 4029, Australia e-mail: eisend@health.qld.gov.au, AU aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer