Spinal aspergillosis in nonimmunocompromised host mimicking Pott's paraplegia

Citation
N. Ur-rahman et al., Spinal aspergillosis in nonimmunocompromised host mimicking Pott's paraplegia, NEUROSURG R, 23(2), 2000, pp. 107-111
Citations number
15
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Neurology
Journal title
NEUROSURGICAL REVIEW
ISSN journal
0344-5607 → ACNP
Volume
23
Issue
2
Year of publication
2000
Pages
107 - 111
Database
ISI
SICI code
0344-5607(200006)23:2<107:SAINHM>2.0.ZU;2-4
Abstract
The aim of this report is to highlight the less-known aspergillus spondylit is (AS) that may completely mimic Pott's paraplegia, leading to occasional but expensive diagnostic error, as the chemotherapeutic manage ment of the two is different. A case of a patient with the diagnosis of Pott's parapleg ia who turned out to have aspergillus spondylitis is described. Issues and difficulties regarding the differentiation between these two forms of spine infection and their therapeutic implications are discussed. We conclude th at differential diagnosis of spinal tuberculosis (TB) should include asperg illus spondylitis, as cure of spinal aspergillosis, especially in early sta ges, is possible with surgery and/or antifungal agents, and morbidity and m ortality are high in neglected cases.