title: Neonatal Candida arthritis.
abstract: Fungal arthritis is an uncommon yet serious disorder in the newborn. Delay in diagnosis and management can lead to significant morbidity. We report our experience with management of two such cases. Two preterm neonates with multifocal arthritis caused by Candida were studied. Diagnosis was made by clinical examination, laboratory investigations, radiological investigations and culture. Both were treated by aspiration, arthrotomy and antifungal therapy. One patient recovered fully from the infection while the other had growth disturbances resulting in limb length inequality at recent followup. Prompt and expeditious evacuation of pus from joints and antifungal therapy is imperative for treatment. Associated osteomyelitis leads to further difficulty in treatment.
authors.affiliation: Department of Orthopaedics, Peoples College of Medical Sciences, Bhopal, Madhya Pradesh, India.
authors.forename: Saurabh
authors.initials: S
authors.lastname: Sharma
authors.affiliation: Department of Orthopaedics, Santokba Durlabhji Memorial Hospital Cum Research Institute, Jaipur, Rajasthan, India.
authors.forename: Kapil
authors.initials: K
authors.lastname: Gangwal
keywords: Arthritis; candidiasis; neonates