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DOI: 10.1055/s-0042-1742604
Fungal Osteomyelitis of the Hip with Septic Arthritis: Case Report
Article in several languages: português | English Financial Support There was no financial support from public, commercial, or non-profit sources.![](https://www.thieme-connect.de/media/10.1055-s-00042410/2024S01/lookinside/thumbnails/10-1055-s-0042-1742604_2100254_en-1.jpg)
Abstract
Fungal osteomyelitis, especially associated with septic arthritis, is uncommon in Brazil; therefore, sometimes it is difficult to diagnose and treat it. We report the case of a young patient, with no immunosuppressive risk factor, with osteomyelitis leading to septic arthritis of the hip. The diagnosis was performed after surgical drainage and visualization of Cryptococcus neoformans at pathological anatomy. Antifungal treatment resulted in complete remission of the symptoms. Since there is no consensus on the treatment of fungal osteomyelitis, this case report aims to inform orthopedists about the importance of hip arthritis differential diagnosis and the good evolution of clinical treatment after drainage and pathogen isolation.
Study developed at the Hospital Santa Isabel (HSI), Blumenau, SC, Brazil.
Publication History
Received: 27 August 2021
Accepted: 22 November 2021
Article published online:
15 February 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Referências
- 1 Kohli R, Hadley S. Fungal arthritis and osteomyelitis. Infect Dis Clin North Am 2005; 19 (04) 831-851
- 2 Kemper CA, Deresinski SC. Fungal disease of bone and joint. In: Kibbler CC, Mackenzie DWR, Odds FC. editors. Principles and practice of clinical mycology. Chichester: John Wiley & Sons; 1996: 49-68
- 3 Bariteau JT, Waryasz GR, McDonnell M, Fischer SA, Hayda RA, Born CT. Fungal osteomyelitis and septic arthritis. J Am Acad Orthop Surg 2014; 22 (06) 390-401
- 4 Gamaletsou MN, Walsh TJ, Sipsas NV. Epidemiology of Fungal Osteomyelitis. Curr Fungal Infect Rep 2014; 8 (04) 262-270
- 5 Silva EK, Guedes-Barbosa LS, Batista MC. Bilateral cryptococcal sacroiliitis: case report and literature review. Rev Bras Reumatol 2006; 46 (03) 225-229
- 6 Kumashi PR, Safdar A, Chamilos G, Chemaly RF, Raad II, Kontoyiannis DP. Fungal osteoarticular infections in patients treated at a comprehensive cancer centre: a 10-year retrospective review. Clin Microbiol Infect 2006; 12 (07) 621-626
- 7 Figueiredo GC, Figueiredo EC, Medeiros TO, Leite OM, Almeida LM. Septic arthritis of the knee by Candida sp. Two case reports. Rev Bras Ortop 1999; 34 (03) 233-238
- 8 Cuéllar ML, Silveira LH, Espinoza LR. Fungal arthritis. Ann Rheum Dis 1992; 51 (05) 690-697