Spinal Cord Series and Cases, 2023 · DOI: https://doi.org/10.1038/s41394-023-00610-5 · Published: October 23, 2023
Intrathecal baclofen (ITB) therapy is used to treat spasticity from spinal cord injuries, but it can lead to complications like infections. This report describes a patient with a spinal cord injury who had repeated infections related to his ITB pump, including one involving Candida parapsilosis. The case raises questions about whether the presence of Candida around the pump represents an infection or simple colonization, which impacts treatment decisions.
Reinforces the need for strict adherence to infection control protocols during ITB pump implantation, replacement, and refill procedures.
Clinicians should consider fungal organisms like Candida parapsilosis in the differential diagnosis of ITB pump infections, especially in patients with risk factors.
Regular monitoring of patients with ITB pumps for signs of infection, including CRP levels and CSF analysis, is crucial for early detection and intervention.