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Septic arthritis due to Scedosporium apiospermum: case report and review
R Tirado-Miranda1, J Solera-Santos, J C Brasero
1Internal Medicine Department, General Hospital Albacete, Spain. rtirado@telepolis.com
Abstract:
Septic arthritis is a relatively common disease, but reports of septic arthritis caused by fungi are still rare and it is often associated with predisposing factors that reduce cellular immunity (alcoholism, cancer, endogenous or exogenous hypercortisolism, intravenous drug abuse). Articular conditions caused by Scedosporium apiospermum are uncommon. Here we report the case of a 32-year-old immunocompetent male with septic arthritis caused by S. apiospermum and review 12 other cases.
Insights
Fungal septic arthritis is rare, often linked to weakened immunity. This study details a rare case of septic arthritis caused by Scedosporium apiospermum in an immunocompetent individual.
Area of Science:
- Mycology
- Infectious Diseases
- Rheumatology
Background:
- Septic arthritis, a common joint infection, is typically bacterial.
- Fungal causes of septic arthritis are rare and often associated with immunosuppression.
Observation:
- A case of septic arthritis caused by Scedosporium apiospermum in a 32-year-old immunocompetent male is presented.
- This is an uncommon presentation, as Scedosporium apiospermum typically affects immunocompromised individuals.
Findings:
- The study reviews 13 cases of septic arthritis caused by Scedosporium apiospermum.
- This highlights the potential for Scedosporium apiospermum to cause joint infections even in immunocompetent hosts.
Implications:
- Clinicians should consider fungal causes, including Scedosporium apiospermum, in the differential diagnosis of septic arthritis, even in immunocompetent patients.
- Further research is needed to understand the pathogenesis and optimal treatment of Scedosporium apiospermum-induced septic arthritis.