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KMID : 0361420120360040573
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Journal of Korean Academy of Rehabilitation Medicine
2012 Volume.36 No. 4 p.573 ~ p.577
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Shoulder Joint Infectious Arthritis and Acromioclavicular Joint Osteomyelitis due to Candida
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Lim Kil-Byung
Kwak Yee-Gyung
Kim Young-Sup
Park Kyung-Rok
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Abstract
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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 antiinflammatory 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.
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KEYWORD
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Candida, Osteomyelitis, Shoulder pain
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