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The Bone & Joint Journal

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The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 3 | Pages 459 - 461
1 May 1999
Govender S Mutasa E Parbhoo AH

We have treated seven patients with cryptococcal spondylitis. Five presented with a neurological deficit and one was HIV-positive. Amphotericin-B and 5-flucytosine were used in five patients and ketoconazole was given orally in the remaining two. Three patients made a complete neurological recovery. Since these lesions mimic spinal tuberculosis, which is commonly seen in our environment, we draw attention to the importance of obtaining a tissue diagnosis.