Unusual finger infection:  Candida magnoliae-associated arthritis/osteomyelitis and gout without a history of prior gout attacks

Introduction

Candida spp. can often infect nails; however, osteomyelitis is a rare condition that can lead to serious morbidity if not diagnosed early and effectively treated [1]. Candida typically reaches the bones and joints via the hematogenous route, and intervertebral discs and knee joints are the most common sites of infection in adults [2]. Causative agents can penetrate bones through invasive procedures, surgeries, injections by drug users, and open wounds [2]. Although Candida albicans is predominantly identified as the etiological agent, reports of Candida tropicalis, Candida glabrata, Candida parapsilosis, and Candida krusei have been documented in the literature [1]. Information regarding bone and joint infections due to Candida magnoliae is very limited, and only a single case report indicates its causative role in tenosynovitis [3].

After a splinter injury in the index finger, Candida magnoliae was identified in samples obtained during surgical intervention for infection. This report presents the clinical progression and one-year outcomes of an adult patient who had additionally gout.

^‡ Shared first authorship

Publication History

Article published online:
21 November 2024

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