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Ann Thorac Surg 1986;41:89-90
© 1986 The Society of Thoracic Surgeons

Articles

Candida albicans Costochondritis in Heroin Addicts

José-M. Gimferrer, M.D.*, Marco-A. Callejas, M.D., Juan Sánchez-Lloret, M.D., Mercedes Carranza, M.D., Miguel Catalán, M.D., Jordi Freixinet, M.D., Emilio Letang, M.D.

From the Cáatedra and Service of Thoracic Surgery, Hospital Clínico y Provincial, Faculty of Medicine of the University of Barcelona, Barcelona, Spain

Accepted for publication March 4, 1985.

* Address reprint requests to Dr. Gimferrer, Cátedra y Servicio de Cirugía Torácica, Hospital Clínico y Provincial, Facultad de Medicina. Universidad de Barcelona, C/Casanova, 143, 08036 Barcelona, Spain


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 Abstract
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The dramatic increase in the number of heroin addicts has led to an increase in the number of infective complications seen, especially those due to Pseudomonas aeruginosa and Candida albicans. In this report we describe our current experience in the surgical treatment of Candida albicans costochondritis. The clinical picture, diagnostic techniques, and surgical therapy receive comment, and a brief review of the literature is given.


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 Abstract
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  1. Miró JM, Zamora L, Gatell JM. Complicaciones infecciosas de la adicciön a las drogas por vía parenteral Enfermedades Infecciosas 1983;1:49.
  2. Moschowitz AV. The treatment of diseases and sinuses of the costal cartilages and sternal osteomyelitis Ann Surg 1952;135:44.[Medline]
  3. Jara FM, Yap A, Toledo-Pereyra LH, Magilligan Jr DJ. The role of surgery in primary osteomyelitis of the chest wall J Thorac Cardiovasc Surg 1979;77:147.[Abstract]
  4. Talucci RC, Webb WR. Costal chondritis: the costal arch Ann Thorac Surg 1983;35:318.[Abstract/Free Full Text]
  5. Yap S, Ravitch MM, Pataki KI. En bloc chest wall resection for candidal costochondritis in a drug addict Ann Thorac Surg 1981;31:182.[Abstract/Free Full Text]
  6. Thomas Jr FE, Martin CE, Fisher RD, Alford RH. Candida albicans infection of sternum and costal cartilages: combined operative treatment and drug therapy with 5-fluorocytosine Ann Thorac Surg 1977;23:163.[Abstract/Free Full Text]
  7. Williams CD, Cunningham JN, Falk EA, et al. Chronic infection of the costal cartilages after thoracic surgical procedures J Thorac Cardiovasc Surg 1973;66:592.[Medline]
  8. Smilack JD, Gentry LO. Candida costochondral osteomyelitis J Bone Joint Surg 1976;58:888.[Medline]
  9. Louria DB, Stiff DP, Bennett B. Disseminated moniliasis in the adult Medicine (Baltimore) 1962;41:307.



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