PMC6218755_01
L3 bone biopsy revealing cocci spherules (GMS stain, 400x).
CRIID2018-8954016.001.jpg
PMC6218755_01_CRIID2018-8954016.001.jpg
fig1
CT-guided needle biopsy was performed confirming osteomyelitis due to C. immitis (Figures 1 and 2). The pathology report also confirmed to be positive for Coccidioides spherules (Figures 1 and 2).
L3 bone biopsy revealing cocci spherules (HE stain, 400x).
CRIID2018-8954016.002.jpg
PMC6218755_01_CRIID2018-8954016.002.jpg
fig2
CT-guided needle biopsy was performed confirming osteomyelitis due to C. immitis (Figures 1 and 2). The pathology report also confirmed to be positive for Coccidioides spherules (Figures 1 and 2).
MRI lumbar spine with and without contrast revealing the compression fracture of L3. Ventral epidural enhancement with mass effect on the thecal sac related to an epidural abscess.
CRIID2018-8954016.003.jpg
PMC6218755_01_CRIID2018-8954016.003.jpg
fig3
Finally, there was a mass-like ventral epidural enhancement to the left of the midline with associated mass effect on the thecal sac related to developing an epidural abscess (Figure 3).