Arthritis without grains caused by Pseudallescheria boydii.
Severe infection of the knee joint by Pseudallescheria boydii in a 23-year-old female resulted in complete destruction of the cartilaginous surface. The possibility of entry of the fungus through mild abrasions of unperforated skin is discussed. The clinical appearance is compared with that of Scedosporium prolificans. Antimycotic miconazole-itraconazole treatment, applied during a period of 4 months, was successful; no side-effects were noted.
Ginter
G
G
Department of Dermatology, University of Graz, Austria.
de Hoog
G S
GS
Pschaid
A
A
Fellinger
M
M
Bogiatzis
A
A
Berghold
C
C
Reich
E M
EM
Odds
F C
FC
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D007719:Knee Joint; D008825:Miconazole / Q000627:therapeutic use; D008855:Microscopy, Electron, Scanning; D003904:Mitosporic Fungi / Q000648:ultrastructure; D008271:Mycetoma / Q000175:diagnosis* / Q000188:drug therapy; D011541:Pseudallescheria / Q000302:isolation & purification / Q000648:ultrastructure
D000935:Antifungal Agents; D017964:Itraconazole; D008825:Miconazole