An immunocompetent host with blood-disseminated spondylitis: a case report and literature review.

Blood-disseminated spondylitis in immunocompetent individuals is rare. The clinical, imaging, and pathological manifestations of this condition are not specific. Therefore, this disease is prone to misdiagnosis and a missed diagnosis. Systemic antifungal therapy is the main treatment for spondylitis. We report a case of blood-disseminated spondylitis in a patient with normal immune function. The first antifungal treatment lasted for 4 months, but spondylitis recurred a few months later. A second antifungal treatment course was initiated for at least 1 year, and follow-up has been ongoing. Currently, there has been no recurrence.