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KMID : 0882420110810060797
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Korean Journal of Medicine
2011 Volume.81 No. 6 p.797 ~ p.801
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A Case of Candida Parapsilosis Infectious Arthritis in a Patient with Enteropathic Arthritis and Ulcerative Colitis
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Park Hee-Jin
Jung Se-Jin
Oh Tak-Geun
Seok Han-Nah
Lee Sang-Won
Park Yong-Beom
Lee Soo-Kon
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Abstract
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Infectious arthritis is an important medical emergency with high morbidity. The most frequent causative organism of infectious arthritis is Staphylococcus aureus, and Candida is an uncommon pathogen. Candida arthritis has been reported to occur in seriously ill or immunocompromised patients and neonates. We report the first case of C. parapsilosis arthritis in a patient with ulcerative colitis. A 52-year-old woman was diagnosed with ulcerative colitis 1 year previously and took balsalazide. Pain and swelling in the right knee joint developed 6 months after diagnosis. She was diagnosed with enteropathic arthritis associated with ulcerative colitis and took methotrexate, sulfasalazine, and prednisolone for 3 months, but the symptoms did not improve. We finally diagnosed her with infectious C. parapsilosis arthritis by culturing the synovial fluid. The patient received amphotericin B for 6 weeks and underwent arthroscopic synovectomy. She finally experienced improvement of inflammation in the right knee joint.
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KEYWORD
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Infectious arthritis, Candida parapsilosis, Ulcerative colitis
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