Aspergillus fumigates Spondylodiscitis in an immunocompetent Patient

Spondylodiscitis is an inflammatory disease of one or more vertebral bodies and of corresponding intervertebral disc, the fungal etiology is rare, affecting mostly immunocompromised individuals. It is often delayed diagnosis by the indolence of symptoms, presenting itself as serious infection may result in important functional consequences. Here is a 69 year old lady presented with complaints of low back pain and bilateral lower limb weakness. History of hypertension and electrolyte imbalance present. Diagnosed as spondylodiscitis L2-L3 with MRI. Patient underwent discectomy and biopsy. Culture grew Aspergillus fumigatus and Aspergillus galactomannan test is positive. No evidence of immunocompromised status was found. Treatment was started with Variconazole.