A Canker Barking at the Wrong Knee: Thyronectria austroamericana Septic Arthritis

Sasinuch Rutjanawech1, Carlos Mejia-Chew1, Chapelle Ayres1

  • 1Division of Infectious Diseases, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.

Insights

The mold Thyronectria austroamericana, a known honey locust tree pathogen, has been identified as causing septic arthritis in a human patient. This marks the first reported instance of this fungal infection in humans.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Plant Pathology

Background:

  • Thyronectria austroamericana is a fungal plant pathogen.
  • It is known to cause canker disease in honey locust trees (Gleditsia triacanthos).
  • Fungal infections in humans can lead to various clinical manifestations.

Observation:

  • A case of septic arthritis was observed.
  • The causative agent was identified as the mold Thyronectria austroamericana.
  • The infection occurred in a human patient.

Findings:

  • This study reports the first documented case of Thyronectria austroamericana causing septic arthritis in a human.
  • The findings highlight a novel zoonotic potential of this plant pathogen.
  • Diagnostic and treatment strategies for this rare fungal arthritis are discussed.

Implications:

  • This discovery expands the known host range of Thyronectria austroamericana.
  • It underscores the importance of considering environmental fungi as potential human pathogens.
  • Further research is needed to understand the pathogenesis and epidemiology of human infections caused by this fungus.

Related Concept Videos

Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
118
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
50
Bacterial Phylum Spirochaetes01:30

Bacterial Phylum Spirochaetes

Spirochetes, unique bacteria in the phylum Spirochaetes, are gram-negative, motile, tightly coiled, slender, and flexible. They inhabit aquatic sediments and animals, with some causing diseases like syphilis. Spirochetes are classified into eight genera based on habitat, pathogenicity, phylogeny, and characteristics.Their distinctive motility arises from endoflagella, located within the cell’s periplasm. These endoflagella anchor at the cell poles and extend along the cell length, encased...
209
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
79
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
78
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
93