Candida Arthritis after Arthroscopic Arthroplasty in a Patient without Predisposing Factors



Chang-Hun Lee1, Jae-Min Oh2, Seong-Rheol Oh1, Minwook Yoo3, Myeung-Su Lee*, 1
1 Department of Medicine, Wonkwang University Hospital, Wonkwang University School of Medicine, 344-2 Shinyong-Dong, Iksan, Jeonbuk 570-180, South Korea
2 Department of Anatomy, Wonkwang University School of Medicine, 344-2 Shinyong-Dong, Iksan, Jeonbuk 570-180, South Korea
3 Department of Medicine, Public Health Center, Inchon City, South Korea


Article Metrics

CrossRef Citations:
0
Total Statistics:

Full-Text HTML Views: 485
Abstract HTML Views: 296
PDF Downloads: 96
Total Views/Downloads: 877
Unique Statistics:

Full-Text HTML Views: 298
Abstract HTML Views: 184
PDF Downloads: 74
Total Views/Downloads: 556



© Lee et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Medicine, Wonkwang University Hospital, Wonkwang University School of Medicine, 344-2 Shinyong-Dong, Iksan, Jeonbuk 570-180, South Korea; Tel: 82-63-859-2550; Fax: 82-63-859-2245; E-mail: ckhlms@hanmail.net


Abstract

Because candidiasis is usually associated with immunosuppression, candida arthritis in an immunocompetent patient is rare. The symptoms of candidiasis are similar to bacterial infections, tuberculosis, and autoimmune diseases. In our patient with no predisposing factors, candida arthritis was initially excluded because the probability of occurrence was low. The patient had no leukocytosis, the acid-fast bacteria (AFB) stain was negative, and the autoimmune antibody screen was negative. After Candida parapsilosis was cultured in the synovial fluid, the patient was treated with amphotericin B (0.7 mg/kg/day) and oral fluconazole (400 mg/day). The treatment was successful and there were no side effects of the medications.

Keywords: Candida arthritis, arthroplasty..