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Shoulder Joint Infectious Arthritis and Acromioclavicular Joint Osteomyelitis due to Candida

Kil-Byung Lim1, Yee-Gyung Kwak, Young-Sup Kim

  • 1Department of Rehabilitation Medicine, Inje University, College of Medicine, Ilsan Paik Hospital, Goyang 411-706, Korea.

Annals of Rehabilitation Medicine
|September 15, 2012
PubMed

Insights

A rare case of Candida parapsilosis osteomyelitis in the shoulder is presented. This fungal infection, often linked to medical devices or drug use, highlights the importance of considering fungi in bone infections.

Area of Science:

  • Infectious Diseases
  • Mycology
  • Orthopedics

Background:

  • Candida species are typically commensal organisms with low virulence.
  • Invasive candidal infections are increasing due to factors like intravenous drug use and central venous catheters.
  • Osteomyelitis caused by Candida species is exceptionally rare.

Purpose of the Study:

  • To report a rare case of Candida parapsilosis osteomyelitis.
  • To discuss the diagnostic challenges and clinical presentation of fungal osteomyelitis.
  • To emphasize the importance of considering fungal pathogens in specific patient populations.

Main Methods:

  • Clinical presentation of a 73-year-old man with right shoulder pain.
  • Diagnostic imaging including ultrasonography, MRI, and bone scan.
  • Ultrasonographically guided joint aspiration for fluid analysis, culture, and staining.

Main Results:

  • Imaging suggested osteomyelitis of the right acromioclavicular joint.
  • Pathologic findings revealed acute and chronic inflammation.
  • Tissue culture and staining identified Candida parapsilosis as the causative agent.

Conclusions:

  • Candida parapsilosis can cause rare but serious bone infections.
  • Early and accurate diagnosis is crucial for effective treatment of fungal osteomyelitis.
  • Clinical suspicion should be raised in patients with risk factors for invasive fungal infections.
Keywords:
CandidaOsteomyelitisShoulder pain

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