Histoplasmosis diagnosed after arthroscopy of the knee: case report
Autor: | João Luiz Ellera Gomes, Lorenzo Falster, Maurício B. Marin |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
Microbiology (medical)
medicine.medical_specialty Antifungal Agents Knee Joint Itraconazole Histoplasma lcsh:QR1-502 Arthritis Histoplasmosis lcsh:Microbiology lcsh:Infectious and parasitic diseases Arthroscopy medicine Monoarthritis Humans Knee lcsh:RC109-216 Fluconazole Aged Medicine(all) Arthritis Infectious Respiratory tract infections biology medicine.diagnostic_test business.industry medicine.disease biology.organism_classification Surgery Infectious Diseases Fungal Female business medicine.drug |
Zdroj: | Brazilian Journal of Infectious Diseases, Vol 19, Iss 5, Pp 546-548 (2015) |
ISSN: | 1413-8670 |
Popis: | Fungal arthritis is a rare complication of arthroscopic surgeries, but its possibility should always be considered due its deleterious effects on any joint. Infection caused by the fungus Histoplasma capsulatum is the most common cause of respiratory tract infections by fungi, meanwhile histoplasmosis arthritis is more rare than all other fungal infections. However, their atypical forms of arthritis and the importance of early diagnosis and treatment cannot be over-emphasized. Herein we report a case of knee monoarthritis in an immunocompetent patient with histoplasmosis arthritis following an arthroscopic meniscetomy, diagnosed by synovial biopsy and culture performed during a second arthroscopic procedure. The joint was debrided in this second intervention and the patient received itraconazole initially and fluconazole latter on. The arthritis subsided after 10 months of treatment. Keywords: Histoplasmosis, Knee, Arthritis, Fungal |
Databáze: | OpenAIRE |
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