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Mycotic Septic Arthritis of the Ankle Joint

Adam Tucker1, Scott Matthews, Alister Wilson

  • 1Department of Trauma and Orthopaedics, Royal Victoria Hospital, Belfast, Northern Ireland. atuc@hotmail.com.

American Journal of Orthopedics (Belle Mead, N.J.)
|December 23, 2016
PubMed

Insights

Septic arthritis, a severe joint infection, is often missed in immunocompromised patients with diabetes. This case highlights Candida albicans fungal arthritis, emphasizing early diagnosis and multimodal treatment for better outcomes.

Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Rheumatology

Background:

  • Septic arthritis is an orthopedic emergency.
  • Immunocompromised patients, particularly those with diabetes mellitus, face delayed diagnosis and increased morbidity.
  • Atypical fungal infections, such as Candida albicans, present insidious challenges in septic arthritis.

Observation:

  • A case of Candida albicans septic arthritis in a patient with diabetes mellitus and rheumatoid arthritis is presented.
  • The patient's presentation was complex, characteristic of atypical mycotic infections.

Findings:

  • Delayed diagnosis of septic arthritis in immunocompromised individuals, especially those with diabetes, can lead to severe complications.
  • Candida albicans septic arthritis requires a multimodal treatment approach.
  • Treatment involves surgical débridement and extended antifungal therapy.

Implications:

  • Highlights the diagnostic complexities of septic arthritis in immunocompromised patients.
  • Underscores the importance of considering atypical pathogens in susceptible populations.
  • Emphasizes the need for prompt, comprehensive management including surgical and antifungal interventions.

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