|
KMID : 0984720050370040242
|
|
Infection and Chemotherapy
2005 Volume.37 No. 4 p.242 ~ p.245
|
|
|
A Case of Candida Parapsilosis Ankle Arthritis after Intra-articular Steroid Injection
|
|
Chun Seung-Min
Park Ho-Yong
Moon Ji-Yong
Yoon Jai-Hoon
Moon Won
Hong Sang-Mo
Bae Joong-Ho
Lee Je
Choi Tae-Yeal
Pai Hyun-Joo
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Candida arthritis, Steroid, Candida Parapsilosis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|