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Chinese Journal of Mycology 2014, Vol. 9  Issue (3): 147-149,154.

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Fungal arthritis of the knee caused by Candida parapsilosis:case report and literature review

LV Hong1, HUANG Tu-lin1, ZHU Hong-mei2   

  1. 1. Shanghai Kaiyuan Orthopedics Hospital, Shanghai 200129, China;
    2. Department of dermatology, Changzheng Hospital, Institute of dermatology and medical mycology, Changzheng Hospital, Key laboratory of molecular medical mycology, PLA key laboratory of medical mycology, Shanghai 200003
  • Received:2014-05-24 Online:2014-06-28 Published:2014-06-28

Abstract:

We report a rare case of fungal arthritis of the knee caused by Candida parapsilosis in a 53-year-old male, who had a history of diabetes and a superficial benign neoplasm resection of the left popliteal fossa. This patient had experienced continued pain and swelling on the left knee joint in a period of 7 years, and couldn't move freely.Candida parapsilosis was isolated from the left knee joint effusion.This case had mycologic cure and symptom improvement by treating with both arthroscopic debridement and intravenous fluconazole. Fungal arthritis is an unusual infection. It might occur in immunocompromised patients or those who had received previous invasive procedures on the joint. But for this case, the diabetes and the previous local superficial resection of the left popliteal fossa might the high risk factors. The early mycological examination will help to improve the early diagnosis and treatment.

Key words: knee joint, arthritis, Candida parapsilosis

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