Science and Education Publishing American Journal of Medical Case Reports 2374-216X 4 5 2016 5 24 Vertebral Osteomyleitis Caused by Candida Albicans in an IV Drug Abuser 168 169 EN Nagadarshini Ramagiri Vinod Hassan Tahir Department of Internal Medicine, Temple University/Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905, USA Khandakar Hussain Saad Ullah AJMCR2016456 10.12691/ajmcr-4-5-6 2016 1 19 2016 5 2 2016 5 22 The incidence of back pain is listed only second to upper respiratory tract infection in symptomatic reason for office visits for a physician. Diagnosing rare and serious causes of back pain may be challenging in outpatient setting. We present a 31 year old male, an IV drug abuser, presenting with severe back pain radiating to his bilateral hips due to L1-L2 Osteomylelitis secondary to Candida Albicans infection.