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A CT-guided needle biopsy was performed and the culture from the excised material tested positive for <jats:italic>C. tropicalis<\/jats:italic>. We report a rare case of spondylodiscitis by <jats:italic>C. tropicalis<\/jats:italic> in a patient treated for AML, which, in turn, was followed by sepsis from <jats:italic>E. faecalis<\/jats:italic> and <jats:italic>C. tropicalis<\/jats:italic>. Without adequate treatment, the disease is progressive, and leads to vertebral destruction with secondary kyphosis and neural or spinal cord compression. Although MRI has high sensitivity in the diagnosis of spondylodiscitis, open or needle biopsy allows to identify the aetiology.<\/jats:p>","DOI":"10.1136\/bcr-2021-242515","type":"journal-article","created":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T12:07:07Z","timestamp":1630670827000},"page":"e242515","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Fungal spondylodiscitis: imaging findings and brief review of the literature"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3190-1034","authenticated-orcid":false,"given":"Luca","family":"Cevolani","sequence":"first","affiliation":[{"name":"Clinica III, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6739-7335","authenticated-orcid":false,"given":"Giancarlo","family":"Facchini","sequence":"additional","affiliation":[{"name":"Department of Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5831-5430","authenticated-orcid":false,"given":"Stefano","family":"Pasini","sequence":"additional","affiliation":[{"name":"Clinica III, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6390-9762","authenticated-orcid":false,"given":"Giuseppe","family":"Bianchi","sequence":"additional","affiliation":[{"name":"Clinica III, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,9,3]]},"reference":[{"key":"2025082804121066000_14.9.e242515.1","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/S0030-5898(20)32050-2","article-title":"Cervical spine infections","volume":"27","author":"Ghanayem","year":"1996","journal-title":"Orthop Clin North Am"},{"key":"2025082804121066000_14.9.e242515.2","doi-asserted-by":"crossref","unstructured":"Y Rami A , G Sotirios M , Michalitsis S . 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