Aspergillus Spondylodiscitis after Spinal Stenosis Surgery: Report of a Case

Background & Importance:

 Spondylodiscitis is an inflammatory disease of the body of one or more vertebrae and intervertebral disc. The fungal etiology of this disease is rare particularly in patients whit out immune dysfunction. Delay in diagnosis and treatment of this disease can lead to complications and even death.

 A 63-year-old female patient, who had a history of spinal surgery and complaining of radicular lumber pain in both lower limbs with probable diagnosis of Spondylodisties, underwent L1 and complete L3 and L4 partial correctomy. As a result of pathology from tissue biopsy specimen, Aspergillus fungi was observed.

 There was no evidence of immunosuppresive status in the patient. The patient was treated with Itraconazol 100mg twice a day for two months. Pain, neurological and laboratory symptoms improved.