Evidence map›Paper›PMID 27038797›Full record

ArticleMycopathologia2016

Spondylodiscitis Due to Aspergillus terreus in an Immunocompetent Host: Case Report and Literature Review.

Pauline Comacle, Yohann Le Govic, Cyril Hoche-Delchet, Jeremy Sandrini, Claire Aguilar, Benjamin Bouyer, Sophie Blanchi, Pascale Penn

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Mycopathologia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Lumbar postoperativeFrontiers in medicine · 2026
    Article
  3. Asian journal of neurosurgery · 2025
    Article
  4. Successful Management of Spondylodiscitis Caused byJournal of fungi (Basel, Switzerland) · 2025
    Article
  5. Article
  6. An immunocompetent host with blood-disseminatedThe Journal of international medical research · 2024
    Review
  7. Frontiers in cellular and infection microbiology · 2023
    Review
  8. Article
  9. Article
  10. Isavuconazole in the Treatment ofAntibiotics (Basel, Switzerland) · 2022
    Review
  11. Spondylodiscitis Caused byDiagnostics (Basel, Switzerland) · 2021
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Observational
  17. InvasiveInfection and drug resistance · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Pauline ComacleLaboratoire de Microbiologie, CH Le Mans, 194 Avenue Rubillard, 72037, Le Mans Cedex 9, France.
Yohann Le GovicLaboratoire de Parasitologie-Mycologie, Institut de Biologie en Santé, Centre Hospitalier Universitaire d'Angers, 4 rue Larrey, 49933, Angers Cedex 9, France. yohann.legovic@chu-angers.fr.
Cyril Hoche-DelchetLaboratoire de Microbiologie, CH Le Mans, 194 Avenue Rubillard, 72037, Le Mans Cedex 9, France.
Jeremy SandriniLaboratoire d'Anatomie et Cytologie Pathologique, CH Le Mans, 194 Avenue Rubillard, 72037, Le Mans Cedex 9, France.
Claire AguilarService des Maladies Infectieuses et Tropicales, Hôpital Necker-Enfants Malades APHP, 194 rue de sèvres, 75015, Paris, France.
Benjamin BouyerService de Chirurgie Orthopédique et Traumatologie, Hôpital Européen Georges-Pompidou APHP, 20 rue Leblanc, 75908, Paris, France.
Sophie BlanchiService des Maladies Infectieuses et Tropicales, CH Le Mans, 194 Avenue Rubillard, 72037, Le Mans Cedex 9, France.
Pascale PennLaboratoire de Microbiologie, CH Le Mans, 194 Avenue Rubillard, 72037, Le Mans Cedex 9, France.
Centre Hospitalier du Mans · FRHôpital Européen Georges-Pompidou · FRInteraction Hôtes Agents Pathogènes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aspergillus terreus, a saprophytic fungus, is recognized as an emerging pathogen responsible for various infections in human beings. However, bone and joint involvement is uncommon. We report a rare case of A. terreus spondylodiscitis in a 20-year-old male with a past history of recurrent, incompletely treated pulmonary tuberculosis. Clinical signs at the time of admission included cough, low-grade fever, general weakness and left-sided back pain. Histological examination of spinal biopsy samples revealed lesions of necrosis, granulomatous inflammation and septate hyphae with acute-angle branching. A. terreus was recovered from culture. The patient received antifungal therapy with voriconazole plus caspofungin and underwent surgical debridement. Further investigations revealed no cause of primary immunodeficiency such as chronic granulomatous disease, severe combined immunodeficiency syndrome or disorders of the IL-12/IFNγ signaling pathway. Moreover, HIV serological tests resulted negative and the patient was not under immunosuppressive therapy. Unfortunately, owing to precarity and medication non-adherence, vertebral sequelae occurred. This new report emphasizes the need to consider a fungal infection in patients with spondylodiscitis, regardless of the immune status.

Indexed as

Antifungal AgentsAspergillosisAspergillusBiopsyCaspofunginDiscitisEchinocandinsHistocytochemistryHumansLipopeptidesMagnetic Resonance ImagingMaleMicrobiological TechniquesMicroscopySpineTuberculosis, PulmonaryAntifungal AgentsCaspofunginEchinocandinsLipopeptidesVoriconazoleAntifungalsAspergillosisAspergillus terreusImmunocompetentSpondylodiscitisVertebral osteomyelitis

Identifiers

PMID27038797
OpenAlexW2324146460

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.