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PubMed · 7809759

Aspergillus discitis with acute disc abscess.

W Assaad·P S Nuchikat·L Cohen·J V Esguerra·F C Whittier
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Abstract

STUDY DESIGN: Aspergillus osteomyelitis of the vertebral body and disc space is rare. This report discusses a case that occurred in an immunosuppressed 29-year-old man and reviews the pertinent medical literature. OBJECTIVES: To review the management and treatment of Aspergillus osteomyelitis of the vertebral body and disc space. SUMMARY OF BACKGROUND DATA: The patient presented with acute neurologic compromise resulting from L5-S1 discitis and a large epidural soft tissue component secondary to the Aspergillus infection. RESULTS: The patient underwent aggressive surgical debridement along with treatment with amphotericin B and had a complete clinical recovery. CONCLUSIONS: The authors recommend a combined medical-surgical approach in most cases of vertebral Aspergillus osteomyelitis. Early surgery with vigorous surgical debridement along with antifungal treatment seems to yield a good outcome.

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AbscessAdultAmphotericin BAspergillosisAspergillus fumigatusDebridementDiscitisHumansLumbar VertebraeMaleOsteomyelitisSacrumCase ReportsJournal ArticleReview

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BibTeXRIS

W Assaad, P S Nuchikat, L Cohen, J V Esguerra, F C Whittier. 1994-10-01. Aspergillus discitis with acute disc abscess.. https://doi.org/10.1097/00007632-199410000-00019

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