Aneurysms of the abdominal aorta: Candida albicans associated with spondylodiscitis

BACKGROUND: A fungal cause of aneurysm of the abdominal aorta is highly unc ommon. CASE REPORT: A 59-year-old patient presented with low back pain which led t o the diagnosis of fungal spondylodiscitis and aneurysm of the abdominal ao rta caused by Candida albicans. DISCUSSION: A combined medical and surgical approach is required for the tr eatment of fungal causes of the abdominal aorta although no standard protoc ol has been established. We used amphotericin B then rapidly moved on to im idazole derivatives. Surgical excision of the aneurysm is essential. Manage ment of these serious conditions depends on the nature of the causal agent and the general status of the patient.