McGahan J P, Graves D S, Palmer P E
Radiology. 1980 Jul;136(1):5-9. doi: 10.1148/radiology.136.1.7384522.
A review of four cases of disseminated coccidioidomycosis involving the spine shows a variety of radiographic manifestations. Classic features of coccidioidal spondylitis include multiple spinal foci with preservation of disk spaces and indiscriminate involvement of the vertebral bodies and appendages. There are often associated paraspinous soft-tissue masses without gibbous deformity of the spine. In this series, the unusual manifestations of coccidioidal spondylitis include gibbous deformity, cystic lesions of the vertebral bodies, and sclerosis. An unusual pattern of healing of coccidioidomycosis is shown in one case.
对4例累及脊柱的播散性球孢子菌病病例的回顾显示出多种影像学表现。球孢子菌性脊柱炎的典型特征包括多个脊柱病灶,椎间盘间隙保留,椎体和附件无差别受累。通常伴有椎旁软组织肿块,脊柱无驼背畸形。在本系列中,球孢子菌性脊柱炎的不寻常表现包括驼背畸形、椎体囊性病变和硬化。1例病例显示了球孢子菌病一种不寻常的愈合模式。