CORNELIUS J. O'CONNELL, M.D., F.A.C.P.; ALFRED V. CHERRY, M.D.; JOHN G. ZOLL, M.D.
To the editor: Fungal osteomyelitis, especially when caused by organisms of low virulence, has been rare. This case is reported to alert clinicians to such heroinrelated infections, which may be seen more often in the future.
A 34-year-old black man had remained healthy and employed, despite sickle-cell trait and an 8-year habituation to intravenous heroin use. While lifting heavy bags he felt a snap and sudden pain in the neck. During the next 3 weeks his symptoms worsened; intermittent chills and fevers occurred. He was admitted to the hospital with painful neck spasm. He had fever to 40 °C, torticollis,
O'CONNELL CJ, CHERRY AV, ZOLL JG. Osteomyelitis of Cervical Spine: Candida guilliermondii. Ann Intern Med. 1973;79:748. doi: 10.7326/0003-4819-79-5-748_1
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Published: Ann Intern Med. 1973;79(5):748.
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