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J Korean Neurosurg Soc. 1998 Dec;27(12):1734-1740. Korean. Case Report.
Park SY , Kim KH , Lee WG , Choi JH , Lee IC , Bae SD .
Department of Neurosurgery, Masan Samsung Hospital, College of Medicine, Sungkyunkwan University, Masan, Korea.
Abstract

As the use of the antibiotics, antitumor substances, steroid hormone and immunosuppressive agent have been increased remarkably, the incidence of the fungal infection has also been increased. Aspergillus is a fungus belonged to ascomycetes family and distributed world-widely. Aspergillus infection of the spine is very rare. Mode of vertebral Aspergillosis is direct extension of primary lesion of lung in children, on the other hand, hematogenous metastasis in adults. We report a adult woman who suffered from thoracolumbar pain without any neurological deficit for 6 months prior to admission. Imaging studies revealed irregular bony destruction on the adajacent end plates of T12 and L1 vertebras with kyphotic change. We underwent operation via anterolateral approach using Z-plate fixation. followed by amphotericin-B administration.

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