Abstrakt
Our aim is to show the differences between pyogenic and non-pyogenic spinal inflammation in a magnetic resonance imaging (MRI), which could prompt us toward a diagnosis of the mycotic etiology of the inflammation. We report a patient with the rare mycotic infection Cladosporium Cladosporides, in which one of the manifestations of mycosis is a spinal lesion.
Above all, the possible mycotic etiology may be signaled by the relative sparing of the disc, the absence of T2-hyperintense band in the disc and the absence of a post-contrast enhancement of the disc, despite the fact that these symptoms are not specific. We conclude that the mycotic spondylitis is treatable, an accurate substrate diagnosis and adequate clinical guidance shall fundamentally influence the patient´s prognosis.