Shoulder Joint Infectious Arthritis and Acromioclavicular Joint Osteomyelitis due to Candida.
10.5535/arm.2012.36.4.573
- Author:
Kil Byung LIM
1
;
Yee Gyung KWAK
;
Young Sup KIM
;
Kyung Rok PARK
Author Information
1. Department of Rehabilitation Medicine, Inje University, College of Medicine, Ilsan Paik Hospital, Goyang 411-706, Korea. remedios1004@naver.com
- Publication Type:Case Report
- Keywords:
Candida;
Osteomyelitis;
Shoulder pain
- MeSH:
Acromioclavicular Joint;
Ambulatory Care Facilities;
Anti-Bacterial Agents;
Arthritis, Infectious;
Candida;
Central Venous Catheters;
Incidence;
Inflammation;
Joints;
Mucous Membrane;
Osteomyelitis;
Shoulder;
Shoulder Joint;
Shoulder Pain;
Skin
- From:Annals of Rehabilitation Medicine
2012;36(4):573-577
- CountryRepublic of Korea
- Language:English
-
Abstract:
Candida species inhabit the skin and mucous membranes of healthy individuals with low virulence, and osteomyelitis due to candida is very rare. However, the incidence of invasive candidal infection caused by intravenous drug use, broad-spectrum antibiotics, and indwelling central venous catheter is increasing. A 73-year old man visited the outpatient clinic complaining of right shoulder pain that radiated to the right acromioclavicular joint. He had undergone multiple injection procedures followed by nonsteroidal anti-inflammatory drug therapy for several weeks. The ultrasonographic findings showed a heterogeneous mass around the right acromioclavicular joint, while the right shoulder MRI and the overall findings of the body bone scan were suggestive of osteomyelitis. Pathologic findings of ultrasonographically guided joint aspiration fluid showed acute and chronic nonspecific inflammation, while the tissue culture and staining revealed Candida parapsilosis.
