A Case of Candida Parapsilosis Ankle Arthritis after Intra-articular Steroid Injection.
- Author:
Seung Min CHEON
1
;
Ho Yong PARK
;
Ji Yong MOON
;
Jai Hoon YOON
;
Won MOON
;
Sang Mo HONG
;
Joong Ho BAE
;
Je LEE
;
Tae Yeal CHOI
;
Hyunjoo PAI
Author Information
1. Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea. paihj@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Candida arthritis;
Steroid;
Candida parapsilosis
- MeSH:
Amphotericin B;
Ankle Joint;
Ankle*;
Anti-Bacterial Agents;
Arthritis*;
Arthritis, Infectious;
Calcaneus;
Candida*;
Fibula;
Fluconazole;
Fungi;
Humans;
Joints;
Magnetic Resonance Imaging;
Osteomyelitis;
Risk Factors;
Talus;
Tibia
- From:
Infection and Chemotherapy
2005;37(4):242-245
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Candida species are uncommon cause of infectious arthritis. The increasing use of potent antibiotics, immunosuppressives, artificial joints, and especially the injection of steroid into the joints predispose to the fungal arthritis. Candida arthritis occurs by hematogenous dissemination or by direct inoculation of fungus into the joint cavity. Fifty three-year-old diabetic patient, who received intra-articular steroid injection into right ankle joint several times, was hospitalized because of aggravating ankle pain and swelling. Candida parapsilosis was isolated from the joint aspiration fluid and MRI findings were compatible with septic arthritis with osteomyelitis of distal tibia, distal fibula, talus, and calcaneus. The patient was successfully treated with 3 weeks of amphotericin B and 7 months of oral fluconazole. We report this case with review of pertinent literatures, emphasizing a high index of suspicion for the fungal infection in patients with predisposing risk factors.
