A Case of Candida Parapsilosis Ankle Arthritis after Intra-articular Steroid Injection / 감염과화학요법
Infection and Chemotherapy
; : 242-245, 2005.
Article
in Ko
| WPRIM
| ID: wpr-721945
Responsible library:
WPRO
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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Osteomyelitis
/
Arthritis
/
Tibia
/
Candida
/
Magnetic Resonance Imaging
/
Calcaneus
/
Talus
/
Arthritis, Infectious
/
Fluconazole
/
Amphotericin B
Type of study:
Etiology_studies
/
Risk_factors_studies
Limits:
Humans
Language:
Ko
Journal:
Infection and Chemotherapy
Year:
2005
Type:
Article