Abstract
We report one case of African histoplasmosis caused by Histoplasma Duboisii located in the spine on a 57 year old patient. Clinical signs consisted of dorsal lombosacral syndrome and paraparesis. Radiography and computed scan revealed spondylodiscitis, whereas Magnetic Resonance Imaging showed destructive lesion in the L5-S1 intervertebral disc and a paravertebral abscess. Tc99m-HMDP bone scintigraphy showed intensely increased uptake in the lumbo-sacral region. The diagnosis was confirmed by mycological and pathological examinations of biopsy specimen witch revealed Histoplasma Duboisii fungus. Medical treatment after surgical repair consisted in Ketoconazola with positive results after 8 months.
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