Aspergillosis of Thoracolumbar Vertebra: A Case Report.
- Author:
Si Yeong PARK
1
;
Kyu Hong KIM
;
Woon Gi LEE
;
Jeong Hoon CHOI
;
In Chang LEE
;
Sang Do BAE
Author Information
1. Department of Neurosurgery, Masan Samsung Hospital, College of Medicine, Sungkyunkwan University, Masan, Korea.
- Publication Type:Case Report
- Keywords:
Aspergillosis;
Thoracolumbar vertebra;
Anterolateral approach;
Amphotericin-B
- MeSH:
Adult;
Anti-Bacterial Agents;
Ascomycota;
Aspergillosis*;
Aspergillus;
Child;
Female;
Fungi;
Hand;
Humans;
Incidence;
Lung;
Neoplasm Metastasis;
Spine*
- From:Journal of Korean Neurosurgical Society
1998;27(12):1734-1740
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
As the use of the antibiotics, antitumor substances, steroid hormone and immunosuppressive agent have been increased remarkably, the incidence of the fungal infection has also been increased. Aspergillus is a fungus belonged to ascomycetes family and distributed world-widely. Aspergillus infection of the spine is very rare. Mode of vertebral Aspergillosis is direct extension of primary lesion of lung in children, on the other hand, hematogenous metastasis in adults. We report a adult woman who suffered from thoracolumbar pain without any neurological deficit for 6 months prior to admission. Imaging studies revealed irregular bony destruction on the adajacent end plates of T12 and L1 vertebras with kyphotic change. We underwent operation via anterolateral approach using Z-plate fixation. followed by amphotericin-B administration.
