Volume 5, Issue 3 And 4 (Summer & Autumn 2019)                   Iran J Neurosurg 2019, 5(3 And 4): 155-160 | Back to browse issues page


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Aghapoor M, Alijani B A, Pakseresht-Mogharab * M. Aspergillus Spondylodiscitis After Spinal Stenosis Surgery: A Case Report. Iran J Neurosurg. 2019; 5 (3 and 4) :155-160
URL: http://irjns.org/article-1-184-en.html
1- Department of Neurosurgery, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran , maghapoor86@gmail.com
2- Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
3- Department of Neurosurgery, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
Abstract:   (1297 Views)
Background and 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 without immunodeficiency. Delay in diagnosis and treatment of this disease can lead to
complications and even death.
Case Presentation: A 63-year-old diabetic female patient, who had a history of spinal surgery and complaining radicular lumbar pain in both lower limbs with a probable diagnosis of spondylodiscitis, underwent partial L2 and complete L3 and L4 corpectomy and fusion. As a result of pathology from tissue biopsy specimen, Aspergillus fungi were observed. There was no evidence of immunodeficiency in the patient. The patient was treated with Itraconazole 100 mg twice a day for two months. Pain, neurological symptom, and laboratory tests improved.
Conclusion: The debridement surgery coupled with antifungal drugs can lead to the best therapeutic results.
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Type of Study: Case report | Subject: Spine

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