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Transpl Infect Dis. 2011 Apr;13(2):192-9. doi: 10.1111/j.1399-3062.2011.00599.x.

Aspergillus vertebral osteomyelitis and ureteral obstruction after liver transplantation.

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Department of Infectious Diseases, Huashan Hospital, Shanghai, China.


Aspergillus osteomyelitis has been reported as a result of dissemination in solid organ transplant recipients. Vertebral osteomyelitis is one of the most common forms of Aspergillus osteomyelitis. An Aspergillus fungal ball is a rare cause of ureteral obstruction. We describe an unusual case of simultaneous vertebral osteomyelitis and ureteral obstruction caused by A. flavus in a hepatic transplant recipient, who was successfully treated with sequential intravenous and oral itraconazole solution.

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