Osteomyelitis is an infection of the bone. It can happen in any bone in the body. But it most often affects the long bones (leg and arm), the spine, and foot bones. You can have a bacterial infection (usually from Staphylococcus) or, more rarely, a fungal infection. the first reported case of Aspergillus vertebral osteomyelitis and epidural abscess in Singapore in a 50-year-old man with post-tuberculous bronchiectasis. The patient presented with acute urinary retention and flaccid paraplegia.
Despite surgical debridement and treatment with voriconazole, the patient developed multiorgan failure and died two weeks after presentation. Early diagnosis and prompt initiation of treatment are emphasised in the hope of improving the outcome of this aggressive condition.The mean age at presentation was 62.5 years and the male to female ratio was 6:1. The mean follow up duration was 12.5 months. The most common predisposing condition was diabetes mellitus (n=5).The most common site of infection was the lumbar spine (n=8), followed by the thoracic (n=4) and cervical (n=2) spine.