Solid organ transplant recipients are at increased risk for Aspergil/us infections.However.the cases of Aspergillus spondylodiscitis are rare and mostly resulted from the hematogenous spread of invasive pulmonary Aspergillosis.Here,we report a case of prjimary spondylodiscitis in a liver transplant recipient.Six months after transplantation,a chronic and progressive lumbar back pain was presented.The patient had no fever and the white blood cell count was normal.High plasma (1-3)-beta-d-glucan (BDG) level was detected at the time of back pain.The pathogen was Aspergillus flavus.Clinical and radiological healing was achieved through posterior only debridement and voriconazole therapy.