# Aspergillus fumigatus Epidural Abscess and Postsurgical Wound Infection in an Immunocompetent Host

## TL;DR

A patient without immune issues developed a rare fungal infection after neurosurgery, highlighting the need to consider Aspergillus in such cases.

## Contribution

Demonstrates that Aspergillus fumigatus can cause post-surgical infections in immunocompetent individuals.

## Key findings

- An immunocompetent patient developed an Aspergillus fumigatus epidural abscess after neurosurgery.
- Treatment with voriconazole led to a favorable response.
- The case emphasizes the importance of considering Aspergillus in post-neurosurgical infections.

## Abstract

In this case, we present an immunocompetent patient who had a wound infection secondary to Aspergillus fumigatus after undergoing a neurosurgical procedure that was complicated by an epidural abscess. The patient was treated with voriconazole and responded favorably. We highlight the need for awareness of the possibility of an Aspergillus infection in people without any obvious immunocompromise and advocate for the inclusion of this opportunistic fungus in the workup of postneurosurgical infections and dura-based collections. A brief review of relevant literature is also included.