We report a rare case of candida vertebral osteomyelitis at the multi level lesion. A-58-year old man had complained of low back pain and fever elevation, one month later after abdominal surgery. The findings on plain radiographs and tomograms showed narrowing of the disc space at the Th12/L1, L4/5 and L5/6 levels. MRI showed abnormal signal intensity in the region of the Th12-L1 and L4-6 vertebral bodies. The needle biopsy of the spine grew candida tropicalis. He was managed conservatively with antifungal agents and bed rest. The symptoms reduced gradually. The treatment was successful with no recurrence after follow-up of 10 months.
