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Acute septic arthritis due to Acremonium
S P Szombathy1, M G Chez, R M Laxer
1Department of Pediatrics, Hospital for Sick Children, Toronto, ON, Canada.
The Journal of Rheumatology
|April 1, 1988
Summary
Acremonium species caused arthritis in a healthy child, a rare occurrence. Prompt treatment with intravenous amphotericin-B led to successful recovery, highlighting this fungal pathogen.
Area of Science:
- Mycology
- Pediatric Infectious Diseases
- Clinical Case Reports
Background:
- Acremonium species are fungi typically causing mycetoma and keratomycosis, primarily in tropical regions.
- Invasive infections by Acremonium species predominantly affect immunocompromised individuals.
- Arthritis is an uncommon manifestation of Acremonium species infection, especially in immunocompetent hosts.
Observation:
- A previously healthy child presented with acute arthritis.
- The causative agent was identified as Acremonium species.
- The patient had no underlying conditions predisposing to invasive fungal infections.
Findings:
- The child's arthritis was successfully treated with intravenous amphotericin-B.
- This case demonstrates a rare presentation of Acremonium species infection in a pediatric patient.
- The successful outcome emphasizes the importance of considering unusual pathogens in pediatric infections.
Implications:
- Physicians should be aware of Acremonium species as a potential cause of invasive infections, even in healthy children.
- Early diagnosis and prompt administration of appropriate antifungal therapy, such as amphotericin-B, are crucial for favorable outcomes.
- This case expands the known clinical spectrum of Acremonium species infections and highlights the need for vigilance in pediatric infectious disease diagnosis.