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Robert Seligsohn, MD; John W. Rippon, PhD; Stephen A. Lerner, MD

Arch Intern Med. 1977;137(7):918-920.

Abstract
Aspergillus terreus infection limited to the L1-2 disk space and first and second lumbar vertebrae developed in a patient not predisposed to invasive aspergillosis. The observation of morphologically distinct secondary spores (aleuriospores) on microscopic examination of open biopsy specimens permitted a preliminary identification of A terreus, which was confirmed by culture. The infection was eradicated with amphotericin B in a total dose of 3 gm. Aspergillus terreus is usually a saprophyte. The present case and four others collected from the literature establish this species as an invasive pathogen.

(Arch Intern Med. 137:918-920, 1977)

Author Affiliations
From the Department of Medicine, University of Chicago, Pritzker School of Medicine. Dr Seligsohn is now with the University of Illinois Hospital, Chicago.

Footnotes
Accepted for publication Oct 11, 1976.

Reprint requests to Section of Infectious Disease, Box 415, University of Chicago, 950 E 59th St, Chicago, IL 60637 (Dr Lerner).

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