Candida arthritis in a patient diagnosed with spondyloarthritis

Candida arthritis is an unusual manifestation that usually affects the knees. A 35-year-old man presented with a 2-month history of pain and swelling in the right knee. Swelling persisted after anti-inflammatory treatment. Peripheric spondyloarthritis was considered, but methotrexate, sulfasalazine,...

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Bibliographic Details
Published in:Revista da Sociedade Brasileira de Medicina Tropical 2016-11, Vol.49 (6), p.793-795
Main Authors: Çevik, Remzi, Tekin, Recep, Gem, Mehmet
Format: Article
Language:English
Subjects:
Adult
Ankle Joint - microbiology
Arthritis
Arthritis, Infectious - diagnosis
Arthritis, Infectious - microbiology
Candida
Candida albicans - isolation & purification
Candidiasis - complications
Candidiasis - diagnosis
Diagnosis, Differential
Humans
Male
Medical diagnosis
Pain management
Risk factors
Spondylarthritis - diagnosis
Spondyloarthropathy
TROPICAL MEDICINE
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Summary:Candida arthritis is an unusual manifestation that usually affects the knees. A 35-year-old man presented with a 2-month history of pain and swelling in the right knee. Swelling persisted after anti-inflammatory treatment. Peripheric spondyloarthritis was considered, but methotrexate, sulfasalazine, and methylprednisolone did not reduce the swelling. Direct examination of synovial fluid and a culture were positive for Candida albicans. Intravenous and intra-articular amphotericin-B were administered. The arthritis regressed and a culture and direct staining showed negative results. Candida arthritis should be considered in patients with arthritis that is resistant to treatment and prolonged, even if risk factors are absent.
ISSN:0037-8682
1678-9849
1678-9849
0037-8682
DOI:10.1590/0037-8682-0089-2016