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
Identifiers and Pagination:Year: 2010
First Page: 7
Last Page: 9
Publisher Id: TORJ-4-7
Article History:Received Date: 17/12/2009
Revision Received Date: 30/12/2009
Acceptance Date: 5/1/2010
Electronic publication date: 11/2/2010
Collection year: 2010
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.
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.