Treatment for Multiple Aspergillus Spondylitis Including a Hip Joint.
- Author:
In Soo OH
1
;
Jun Yeong SEO
;
Kee Yong HA
;
Yoon Chung KIM
Author Information
- Publication Type:Case Report
- Keywords: Multiple spondylitis; Aspergillus; Immunocompromised
- MeSH: Antifungal Agents; Aspergillus; Biopsy; Decompression; Hip; Hip Joint; Humans; Hyphae; Immunocompromised Host; Liver; Middle Aged; Neck Pain; Spine; Spondylitis; Stress, Psychological; Transplants
- From:Asian Spine Journal 2009;3(2):106-112
- CountryRepublic of Korea
- Language:English
- Abstract: Multiple aspergillus spondylitis (AS) is a life threatening infection that occurs more commonly in immunocompromised patients, and is commonly treated with antifungal agents. However, there is relatively little information available on the treatment of multiple AS. The authors encountered a 46-year-old man suffering from low back and neck pain with radiculomyelopathy after a liver transplant. The patient had concomitant multiple AS in the cervico-thoraco-lumbar spine and right hip joint, as confirmed by radiologic imaging studies. The pathological examination of a biopsy specimen revealed fungal hyphae at the cervical and lumbar spine. Anterior decompression and interbody fusion were performed for the cervical and lumbar lesions, which showed instability and related neurological symptoms. Additional antifungal therapy was also performed. The patient was treated successfully with remission of his symptoms.
