Solid organ transplant recipients are at increased risk for Aspergillus infections. However, the cases of Aspergillus spondylodiscitis are rare and mostly resulted from the hematogenous spread of invasive pulmonary Aspergillosis. Here, we report a case of primary spondylodiscitis in a liver transplant recipient. Six months after transplantation, a chronic and progressive lumbar back pain was presented. The patient had no fever and the white blood cell count was normal. High plasma (1→3)-beta-d-glucan (BDG) level was detected at the time of back pain. The pathogen was Aspergillus flavus. Clinical and radiological healing was achieved through posterior only debridement and voriconazole therapy.
Adult ; Aspergillosis ; blood ; diagnosis ; etiology ; Discitis ; blood ; diagnosis ; etiology ; Humans ; Liver Transplantation ; adverse effects ; Male

A one-and-a-half year old boy who presented with a cough, irritability, and refusal of food was found to have an impacted foreign body in his upper esophagus. We present the radiologic findings of the foreign body (a button battery) impacted in the upper esophagus and its complications; namely, mediastinitis and spondylodiscitis after endoscopic removal. Further, plain radiograph and MR imaging findings are discussed along with literature review.
Discitis/diagnosis/*etiology ; *Esophagus ; Foreign Bodies/*complications/radiography ; Humans ; Infant ; Magnetic Resonance Imaging ; Male ; Mediastinitis/diagnosis/etiology