J Korean Geriatr Soc.  2014 Jun;18(2):93-97. 10.4235/jkgs.2014.18.2.93.

Candida Arthritis in a Hemodialysis Patient

• Park SY
• Kwon YH
• Kim SW
• Jang DW
• Jung YO
• Shon MS
• Cha RH

• KMID: 1708453
• DOI: http://doi.org/10.4235/jkgs.2014.18.2.93

Abstract

Candida is a rare cause of infectious arthritis, and it can be found in infants and immunocompromised patients. Patients with maintenance hemodialysis are prone to opportunistic infections because of altered immunity, and frequent exposures to health-care associated infections. Herein, we report a case of candida arthritis of right shoulder with preceding fungemia in patients with maintenance hemodialysis. The diagnosis is based on the isolation of Candida Tropicalis from blood and synovial fluids of the shoulder joint. The patient has received intravenous fluconazole and arthroscopic surgical debridement. We then changed the fluconazole into amphotericin B due to the abnormal signs in the liver function tests, although the fluconazole successfully controlled fungemia and arthritis. To the best of our knowledge, this is the first case of candida arthritis in patients with maintenance hemodialysis in South Korea.

Keyword

Arthritis; Candida; Fungemia; Hemodialysis

MeSH Terms

Amphotericin B
Arthritis*
Arthritis, Infectious
Candida tropicalis
Candida*
Debridement
Diagnosis
Fluconazole
Fungemia
Humans
Immunocompromised Host
Infant
Korea
Liver Function Tests
Opportunistic Infections
Renal Dialysis*
Shoulder
Shoulder Joint
Synovial Fluid
Amphotericin B
Fluconazole