Fungal infections of the spine are rare. They usually affect the immunosuppressed population. Most of the time, the symptoms are indolent and nonspecific, which makes difficult its early diagnosis. The histopathological diagnosis is mandatory for its adequate treatment. Cases that do not present with neurological deficits, instability, deformities, or abscesses can be treated clinically with antifungal agents. Otherwise, they should be approached surgically, preferably with an anterior approach for debridement and posterior fusion. Long-term follow-up should be done.
KeywordsCentral nervous system Complications Diagnosis Fungal infections Pathogenesis Spinal cord compression Spine Surgery Treatment
Human immonodeficiency virus
Magnetic resonance imaging
Oswestry disability index
Visual analog scale