Spine Coccidioidomycosis
Imaging findings
CT and MRI of the spine show vertebral body destruction, collapse, and a large paraspinal/epidural inflammatory mass (phlegmon) at a single vertebral level. The lungs show only subtle tree-in-bud opacities.
Key takeaways
Coccidioidomycosis (valley fever) is an endemic fungal infection that can disseminate to the skeletal system, most commonly the spine. Spinal coccidioidomycosis causes osteomyelitis and epidural abscesses that closely mimic tuberculosis (Pott's disease) and must be considered in endemic areas.
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