Candida Arthritis in a Hemodialysis Patient.
10.4235/jkgs.2014.18.2.93
- Author:
Soo Yeon PARK
1
;
Yong Hwan KWON
;
Seok Won KIM
;
Dong Won JANG
;
Yeon Oh JUNG
;
Min Soo SHON
;
Ran Hui CHA
Author Information
1. Department of Internal Medicine, National Medical Center, Seoul, Korea. reginaprayer@gmail.com
- Publication Type:Case Report
- Keywords:
Arthritis;
Candida;
Fungemia;
Hemodialysis
- MeSH:
Amphotericin B;
Arthritis*;
Arthritis, Infectious;
Candida tropicalis;
Candida*;
Debridement;
Diagnosis;
Fluconazole;
Fungemia;
Humans;
Immunocompromised Host;
Infant;
Korea;
Liver Function Tests;
Opportunistic Infections;
Renal Dialysis*;
Shoulder;
Shoulder Joint;
Synovial Fluid
- From:Journal of the Korean Geriatrics Society
2014;18(2):93-97
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Candida is a rare cause of infectious arthritis, and it can be found in infants and immunocompromised patients. Patients with maintenance hemodialysis are prone to opportunistic infections because of altered immunity, and frequent exposures to health-care associated infections. Herein, we report a case of candida arthritis of right shoulder with preceding fungemia in patients with maintenance hemodialysis. The diagnosis is based on the isolation of Candida Tropicalis from blood and synovial fluids of the shoulder joint. The patient has received intravenous fluconazole and arthroscopic surgical debridement. We then changed the fluconazole into amphotericin B due to the abnormal signs in the liver function tests, although the fluconazole successfully controlled fungemia and arthritis. To the best of our knowledge, this is the first case of candida arthritis in patients with maintenance hemodialysis in South Korea.
