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KMID : 0882420120820010119
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Korean Journal of Medicine
2012 Volume.82 No. 1 p.119 ~ p.122
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Candida Arthritis Presenting as a Huge Popliteal Cyst in a Patient with Rheumatoid Arthritis: A Case Report and Review of the Literature
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Hwang Hyun-Sik
Kim Hyun-Hee
Kim Hong-Ik
Baek Seung-Hoon
Park Sung-Hoon
Choe Jung-Yoon
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Abstract
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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.
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KEYWORD
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Candida, Popliteal cyst, Arthritis, Rheumatoid
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