{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T11:07:03Z","timestamp":1780916823359,"version":"3.54.1"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"vor","delay-in-days":158,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Spinal mucormycosis is an exceptionally rare form of invasive fungal infection, with fewer than 12 confirmed cases reported in the prior literature. Immunocompromised patients are disproportionately affected, and mortality exceeds 50% in this population. Chronic liver disease as a primary predisposing condition is underrepresented in the existing case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 54\u2010year\u2010old male with Child\u2013Pugh Grade C chronic liver cirrhosis, diabetes mellitus, and hypothyroidism presented with progressive low back pain and bilateral lower limb weakness of one week duration. Lumbar MRI demonstrated L2\u2010L3 spondylodiscitis with epidural abscess formation, initially attributed to Pott\u2019s spine, and antitubercular therapy (ATT) was initiated empirically. Rapid neurological deterioration prompted surgical re\u2010evaluation. The patient underwent an L3 laminectomy with drainage of an L3\u2010L4 anterior epidural abscess. Intraoperative microscopy revealed aseptate ribbon\u2010like hyphae consistent with Mucorales species. Liposomal Amphotericin B (5\u2009mg\/kg\/day), intravenous micafungin, and oral posaconazole were commenced. Antifungal therapy was complicated by progressive nephrotoxicity and hepatic decompensation requiring repeated dose modifications. The patient developed hepatic encephalopathy with sepsis and died on Postoperative day (POD) 12 from multiorgan failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case represents the 12th documented instance of spinal mucormycosis and the first attributable to Child\u2013Pugh Grade C liver disease. In tuberculosis\u2010endemic settings, mucormycosis must be considered in the differential diagnosis of apparent Pott\u2019s spine in immunocompromised patients, particularly those with progressive neurological deterioration despite empirical ATT. Concurrent hepatic and renal impairment substantially constrains antifungal options and worsens prognosis. Multidisciplinary coordination and early tissue diagnosis are critical to the management of this rare, life\u2010threatening condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crdi\/1299422","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T10:19:32Z","timestamp":1780913972000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lumbar Spine Mucormycosis Mimicking Pott\u2019s Spine: A Case 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