Aspergillus meningitis and discitis from low-back procedures in an immunocompetent patient

A. B.Larson Kolbe, A. M. McKinney, Ayse Tuba Kendi, D. Misselt

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

We present a case of an immunocompetent patient who developed Aspergillus meningitis, subsequent to discitis, presumed to be from an epidural steroid injection. Magnetic resonance imaging (MRI) of the lumbar spine confirmed the diagnosis of discitis. Fluoroscopic-guided aspiration of the disc showed growth of Aspergillus fumigatus. MRI of the brain revealed involvement of the right third cranial nerve. Repeat MRIs demonstrated multiple leptomeningeal masses consistent with granulomatous meningitis. Meningitis is a rare complication of discitis, discogram, or epidural steroid injection. Aspergillus usually only infects immunocompromised patients, but rarely can affect immunocompetent patients.

Original languageEnglish (US)
Pages (from-to)687-689
Number of pages3
JournalActa Radiologica
Volume48
Issue number6
DOIs
StatePublished - Aug 2 2007
Externally publishedYes

Fingerprint

Discitis
Aspergillus
Meningitis
Epidural Injections
Steroids
Magnetic Resonance Imaging
Oculomotor Nerve
Aspergillus fumigatus
Immunocompromised Host
Spine
Brain
Growth

Keywords

  • Aspergillus
  • Discitis
  • Meningitis

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

Cite this

Aspergillus meningitis and discitis from low-back procedures in an immunocompetent patient. / Kolbe, A. B.Larson; McKinney, A. M.; Tuba Kendi, Ayse; Misselt, D.

In: Acta Radiologica, Vol. 48, No. 6, 02.08.2007, p. 687-689.

Research output: Contribution to journalArticle

Kolbe, A. B.Larson ; McKinney, A. M. ; Tuba Kendi, Ayse ; Misselt, D. / Aspergillus meningitis and discitis from low-back procedures in an immunocompetent patient. In: Acta Radiologica. 2007 ; Vol. 48, No. 6. pp. 687-689.
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