Aspergillus Spondylodiscitis and Paravertebral Abscess in an Immunocompetent Patient

Although osseous infections associated with Aspergillus species are more common in immunocompromised patients, they may also rarely develop in immunocompetent patients with an intact immune system, who are not predisposed to invasive aspergillus infections. The osseous infection due to Aspergillus most frequently involves the lumbar vertebrae, with low back pain being the most prominent symptom. A. fumigatus is known to be the primary cause in the etiology. Surgical intervention and systemic antifungal therapy should be the mainstay of treatment. In this report, we present a case of spondylodiscitis and paravertebral abscess due to A. fumigatus, which developed in an immunocompetent patient. The treatment included surgery and voriconazole.