Scedosporium apiospermum infection of the lumbar vertebrae: A case report

Figure 1 Medical imaging examinations before therapy. A: X-ray image showing increased heterogeneity of bone density at the edge of the third lumbar (L3) vertebra to the first sacral (S1) vertebra. The fifth lumbar (L5) vertebra and S1 bodies had marginal hyperostosis with incomplete posterior border continuity, the L5 body was displaced slightly posteriorly, and the L5/S1 intervertebral space was narrowed; B: Axial computed tomography image showing bone destruction and hyperplasia at the edges of the L5 and S1 bodies, a small amount of low-density shadow encircling the paravertebral space, and bone destruction at the right sacroiliac joint surface; C and D: Sagittal T1WI and T2WI magnetic resonance imaging (MRI) showing abnormal bone signal at the margins of L3 and the fourth lumbar (L4), and L5 and S1, with a long T1 and mixed long T2 signal; E and F: Axial T2WI in MRI showing a decreased signal at the L3/L4 disc (E), L5/S1 disc (F), rim of the visible soft tissue shadow of the annular bulge, and slight narrowing of the spinal canal at the corresponding level.