RESUMEN
Aspergillus osteomyelitis of the spine has rarely been reported in immunocompetent patients. This report describes a case of aspergillus osteomyelitis in an immunocompetent diabetic patent. A 73-year-old lady developed pulmonary infection with spreading of the infection to the spine [T10-T11] leading to spinal cord compression and paraparesis. Bronchial lavage and needle biopsy isolated aspergillus fumigatus. The patient was treated with amphotericine B and itroconazole without surgical debridement. Six months later, the patient was fully independent and had only minimal gait spasticity. Although rare, aspergillus spondylitis should be included in the differential diagnosis of spondylodiscitis. Its distinction from Pott's disease is difficult but of paramount importance in the therapeutic management