Candida lambica polyarthritis in a patient with chronic alcoholism.
We describe a patient with an indolent polyarthritis over a period of several years caused by Candida lambica probably acquired from a contaminated wound. C. lambica has not been previously reported to cause infectious arthritis. Hematogenous spread was manifest by 4 separate sites of involvement. Chronic alcoholism was the only apparent risk factor for dissemination. The infection seems to be environmentally acquired.
Trowbridge
J
J
The Washington Hospital Center, Department of Medicine, Washington, DC 20010, USA.
Ludmer
L M
LM
Riddle
V D
VD
Levy
C S
CS
Barth
W F
WF
D000437:Alcoholism / Q000150:complications*; D001168:Arthritis / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology*; D002175:Candida / Q000302:isolation & purification; D002177:Candidiasis / Q000150:complications* / Q000209:etiology / Q000382:microbiology; D002908:Chronic Disease; D006230:Hand Injuries / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012307:Risk Factors