case_images: PMC6218755_01
case_images: L3 bone biopsy revealing cocci spherules (GMS stain, 400x).
case_images: CRIID2018-8954016.001.jpg
case_images: PMC6218755_01_CRIID2018-8954016.001.jpg
case_images: fig1
case_images: 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).
case_images: L3 bone biopsy revealing cocci spherules (HE stain, 400x).
case_images: CRIID2018-8954016.002.jpg
case_images: PMC6218755_01_CRIID2018-8954016.002.jpg
case_images: fig2
case_images: 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).
case_images: 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.
case_images: CRIID2018-8954016.003.jpg
case_images: PMC6218755_01_CRIID2018-8954016.003.jpg
case_images: fig3
case_images: 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).