title: Osteoarticular infection by Candida albicans in an infant with cystic fibrosis.
abstract: Invasive candidiasis is rare in children after the neonatal period, but can occur in children with (secondary) immunodeficiency with a damaged gastrointestinal or skin barrier, or when receiving antibiotics. A 10-month-old girl was diagnosed as suffering from cystic fibrosis (CF) when showing failure to thrive, pulmonary symptoms and hypoproteinaemia. At that time, Candida albicans was identified from blood culture and treated intravenously with liposomal amphotericin B for 13 days. Six weeks later, the girl presented with osteoarticular infection of the left knee caused by C. albicans. The infection showed insufficient response to therapy with liposomal amphotericin B, but the patient recovered after therapy with fluconazole and flucytosine. Follow-up over 4 years revealed no sequelae. In conclusion, invasive Candida infections may occur in patients with CF, and preventive measures might be considered in patients at risk. In the case of an invasive infection, prolonged treatment with a combination of antifungal drugs may be required.
authors: Children's Hospital University of Würzburg, Würzburg, Germany.
authors: Kerstin
authors: K
authors: Radike
authors: Children's Hospital University of Würzburg, Würzburg, Germany.
authors: Steffen
authors: S
authors: Kunzmann
authors: Institute for Microbiology, University of Würzburg, Würzburg, Germany.
authors: Marianne
authors: M
authors: Abele-Horn
authors: Pediatric Radiology, University of Würzburg, Würzburg, Germany.
authors: Meinrad
authors: M
authors: Beer
authors: Children's Hospital University of Würzburg, Würzburg, Germany.
authors: Helge
authors: H
authors: Hebestreit