ASPERGILLUS SPONDYLODISCITIS IN AN IMMUNOCOMPETENT PARAPLEGIC PATIENT

A case of an immunocompetent 60 year old patient is reported, who suff ered extensive thoracic spinal injury and paraplegia after polytrauma. In the course of rehabilitation he developed aspergillus spondylodisc itis in a part of the thoraco-lumbar spine which was primarily uninjur ed. The diagnostic assessment and therapeutic approach of this rare di sorder is elucidated and discussed in the context of paraplegia and po lytrauma. Possible mechanisms of inoculation and spreading of the moul ds as well as predisposing factors of the disease are discussed in thi s paper and a review of the recent literature is provided.