Aspergillus Vertebral Osteomyelitis in an Immunocompetent Host Treated With Voriconazole

Aspergillus osteomylyelitis in immunocompetent hosts is a rare disease. In this article, we report a case of Aspergillus vertebral osteomyelitis in an immunocompetent woman who presented with pathological fractures of the thoracic vertebrae. We reviewed medical literature to find the optimal regimen, and in our case, we elected to start the patient on voriconazole and intended to treat for a minimum of 6 months. Our patient responded nicely to voriconazole and showed clinical and radiological resolution of osteomyelitis after 6 weeks of therapy.