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ARTICLE |

Aspergillus Spinal Epidural Abscess FREE

Benjamin F Byrd, III, MD; Marc H. Weiner, MD; Zell A. McGee, MD
[+] Author Affiliations

Reprint requests to Department of Medicine, Vanderbilt University Hospital, Nashville, TN 37232 (Dr Byrd).


JAMA. 1982;248(23):3138-3139. doi:10.1001/jama.1982.03330230050031
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A spinal epidural abscess developed in a renal transplant recipient; results of a serum radioimmunoassay for Aspergillus antigen were positive. Laminectomy disclosed an abscess of the L4-5 interspace and L-5 vertebral body that contained hyphal forms and from which Aspergillus species was cultured. Serum Aspergillus antigen radioimmunoassay may be a valuable, specific early diagnostic test when systemic aspergillosis is a consideration in an immunosuppressed host.

(JAMA 1982;248:3138-3139)

REFERENCES

Young RC, Bennett JE, Vogel CL, et al:  Aspergillosis: The spectrum of disease in 98 patients . Medicine 1970;;49:147-173.
Meyer RD, Young LS, Armstrong D, et al:  Aspergillosis complicating neoplastic disease . Am J Med 1973;;54:6-15.
Ingwer I, McLeish KR, Tight RR, et al:  Aspergillus fumigatus epidural abscess in a renal transplant recipient . Arch Intern Med 1978;; 138:153-154.
Simpson MB, Merz WG, Kurlinski JP, et al:  Opportunistic mycotic osteomyelitis: Bone infections due to Aspergillus and Candida species . Medicine 1977;;56:475-482.
Aisner J, Schimpff DC, Wiernik PH:  Treatment of invasive aspergillosis: Relation of early diagnosis and treatment to response . Ann Intern Med 1977;;86:539-543.
Weiner M:  Antigemia detected by radioimmunoassay in systemic aspergillosis . Ann Intern Med 1980;;92:793-796.
Roselle GA, Gaird IM:  Aspergillus flavipes group osteomyelitis . Arch Intern Med 1979;; 139:590-592.
Cascells SW:  Aspergillus osteomyelitis of the tibia . J Bone Joint Surg Am 1978;;60:994-995.
Baker AS, Ojemann RG, Swartz MN, et al:  Spinal epidural abscess . N Engl J Med 1975;; 293:463-468.
Heusner AP:  Nontuberculous spinal epidural infections . N Engl J Med 1948;;249:845-854.

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Young RC, Bennett JE, Vogel CL, et al:  Aspergillosis: The spectrum of disease in 98 patients . Medicine 1970;;49:147-173.
Meyer RD, Young LS, Armstrong D, et al:  Aspergillosis complicating neoplastic disease . Am J Med 1973;;54:6-15.
Ingwer I, McLeish KR, Tight RR, et al:  Aspergillus fumigatus epidural abscess in a renal transplant recipient . Arch Intern Med 1978;; 138:153-154.
Simpson MB, Merz WG, Kurlinski JP, et al:  Opportunistic mycotic osteomyelitis: Bone infections due to Aspergillus and Candida species . Medicine 1977;;56:475-482.
Aisner J, Schimpff DC, Wiernik PH:  Treatment of invasive aspergillosis: Relation of early diagnosis and treatment to response . Ann Intern Med 1977;;86:539-543.
Weiner M:  Antigemia detected by radioimmunoassay in systemic aspergillosis . Ann Intern Med 1980;;92:793-796.
Roselle GA, Gaird IM:  Aspergillus flavipes group osteomyelitis . Arch Intern Med 1979;; 139:590-592.
Cascells SW:  Aspergillus osteomyelitis of the tibia . J Bone Joint Surg Am 1978;;60:994-995.
Baker AS, Ojemann RG, Swartz MN, et al:  Spinal epidural abscess . N Engl J Med 1975;; 293:463-468.
Heusner AP:  Nontuberculous spinal epidural infections . N Engl J Med 1948;;249:845-854.
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