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Prototheca wickerhamii causing toe infection presenting initially as gouty arthritis: A rare case report
Rong Wang1, Yuyuan Xue2, Zirong Wu3
1Department of Clinical Laboratory Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Hubei Xiangyang, China.
Summary
This case report details a rare Prototheca wickerhamii toe infection mimicking gouty arthritis in a fish farmer. Prompt microbiological diagnosis and itraconazole treatment led to recovery, emphasizing awareness for such opportunistic infections.
Area of Science:
- Medical Mycology
- Opportunistic Infections
- Algal Pathogenesis
Background:
- Prototheca species are opportunistic microalgae causing protothecosis, ranging from cutaneous lesions to systemic disease.
- Protothecosis can present atypically, mimicking other conditions like inflammatory arthritis.
- Early and accurate diagnosis is critical for effective management and preventing complications.

