Candida Arthritis Presenting as a Huge Popliteal Cyst in a Patient with Rheumatoid Arthritis: A Case Report and Review of the Literature.
- Author:
Hyun Sik HWANG
1
;
Hyun Hee KIM
;
Hong Ik KIM
;
Seung Hoon BAEK
;
Sung Hoon PARK
;
Jung Yoon CHOE
Author Information
1. Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea. yourii99@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Candida;
Popliteal cyst;
Arthritis;
Rheumatoid
- MeSH:
Amphotericin B;
Arthritis;
Arthritis, Infectious;
Arthritis, Rheumatoid;
Candida;
Candidiasis;
Drainage;
Humans;
Immunocompromised Host;
Injections, Intra-Articular;
Joints;
Ketoconazole;
Popliteal Cyst
- From:Korean Journal of Medicine
2012;82(1):119-122
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Candida arthritis is an uncommon cause of infectious arthritis that can occur in immunocompromised patients, such as those with rheumatoid arthritis. Candida arthritis arises in two ways: from direct inoculation or hematogenous dissemination. Direct inoculation is common in immunocompromised hosts during intra-articular injection or surgical procedures. The affected joints are generally swollen, tender, and mildly warm, with no evidence of disseminated candidiasis. Reported treatments include intravenous amphotericin B administration and drainage, or the use of 5-fluocytosine or ketoconazole to decrease amphotericin B toxicity. Surgical treatment has been necessary in some cases to eradicate candidal infection. Here, we report a case of candida arthritis combined with a huge popliteal cyst in a patient with rheumatoid arthritis and present a review of the relevant literature.
