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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 25:642-644, April 2004
© 2004 American Society of Neuroradiology

Case Report
SPINE

Thoracic Intradural Aspergillus Abscess Formation following Epidural Steroid Injection

Gaurav Saigal^a, M. Judith Donovan Post^a and Dusko Kozic^a

^a From the Department of Radiology, University of Miami School of Medicine, Miami, FL

Address correspondence to M. Judith Donovan Post, MD, Department of Radiology, University of Miami School of Medicine, 1115 NW 14th Street, Miami, FL 33136

Summary: We report an extremely unusual iatrogenic infection of the spinal canal with Aspergillus fumigatus that resulted in intradural abscess formation following epidural steroid injection in an immunocompetent young individual. Although the imaging findings of the infection were relatively nonspecific, MR imaging not only allowed for a prompt diagnosis, but also helped in surgical localization to the intradural compartment. Complications from the use of these injections are briefly discussed.

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