A Diabetic Patient with Fungal Arthritis due to Hansenula anomala.
- Author:
Sang Soo LEE
1
;
Byung Wan LEE
;
Choong Hyun LEE
;
Chun Kwan KIM
;
Shin Woo KIM
;
Sung Min KIM
;
Kyong Ran PECK
;
Nam Yong LEE
;
Jae Hoon SONG
Author Information
1. Division of Infectious Diseases, Sungkunkwan University, School of Medicine, Samsung Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Hansenula anomala;
Fungal arthritis;
Diabetes mellitus
- MeSH:
Abscess;
Arthritis*;
Arthritis, Infectious;
Congenital Abnormalities;
Cross Infection;
Debridement;
Diabetes Mellitus;
Femur;
Fluconazole;
Fungi;
Humans;
Hypertrophy;
Immunocompromised Host;
Joints;
Knee Joint;
Middle Aged;
Pharynx;
Pichia*;
Tibia;
Yeasts
- From:Korean Journal of Infectious Diseases
2000;32(3):243-247
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hansenula anomala is a normal or transient flora of the throat and alimentary tract, and has been reported as an organism causing opportunistic or nosocomial infections in immunocompromised patients, but rarely in immunocompetent hosts. From the review of the literatures, there is no published report on arthritis caused by H. anomala. We experienced a case of H. anomala arthritis in a 59-year old man who had diabetes mellitus and right knee joint swelling with deformity. The findings of magnetic resonance image were consistent with septic arthritis which had bony destruction in distal femur and proximal tibia, abscess formation in joint space, and joint effusion with synovial hypertrophy. A fungus was isolated from a couple of blood cultures and knee joint aspiration fluid, and later identified as H. anomala by yeast biochemical cards. He was successfully treated with extensive debridement and fluconazole for 8 weeks.
