title: Arthritis without grains caused by Pseudallescheria boydii.
abstract: 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.
authors.affiliation: Department of Dermatology, University of Graz, Austria.
authors.forename: G
authors.initials: G
authors.lastname: Ginter
authors.forename: G S
authors.initials: GS
authors.lastname: de Hoog
authors.forename: A
authors.initials: A
authors.lastname: Pschaid
authors.forename: M
authors.initials: M
authors.lastname: Fellinger
authors.forename: A
authors.initials: A
authors.lastname: Bogiatzis
authors.forename: C
authors.initials: C
authors.lastname: Berghold
authors.forename: E M
authors.initials: EM
authors.lastname: Reich
authors.forename: F C
authors.initials: FC
authors.lastname: Odds
mesh_terms: 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
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole; D008825:Miconazole