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Coccidioidal spondylitis: MR findings in 15 patients
E M Olson1, A C Duberg, L D Herron
1Radiology Department, Sierra Vista Regional Medical Center, San Luis Obispo, CA 93405, USA.
AJR. American Journal of Roentgenology
|September 2, 1998
Summary
Magnetic resonance (MR) imaging reveals key features of coccidioidal spondylitis, a fungal infection of the spine. This study analyzed MR imaging in 15 patients to identify characteristic patterns of this infection.
Area of Science:
- Radiology
- Infectious Diseases
- Spinal Imaging
Background:
- Coccidioidomycosis is a fungal infection endemic to the southwestern United States.
- Vertebral column involvement, known as coccidioidal spondylitis, can lead to significant morbidity.
- Accurate diagnosis relies on characteristic imaging findings.
Purpose of the Study:
- To delineate the specific Magnetic Resonance (MR) imaging features of coccidioidal spondylitis.
- To aid in the diagnosis and management of spinal coccidioidomycosis.
Main Methods:
- Retrospective review of MR imaging studies.
- Analysis of 15 patients with confirmed vertebral coccidioidomycosis.
Main Results:
- Coccidioidal spondylitis demonstrated variable patterns on MR imaging, appearing as unifocal or multifocal disease.
- Commonly observed findings included involvement of the intervertebral disk, vertebral body marrow, and adjacent epidural and soft tissues.
Conclusions:
- MR imaging is crucial for identifying coccidioidal spondylitis.
- Characteristic imaging findings include disc, vertebral body, and soft tissue involvement.
- Recognizing these patterns can facilitate timely diagnosis and treatment.
