title: Osteomyelitis Caused by Candida glabrata in the Distal Phalanx.
abstract: Osteomyelitis caused by Candida glabrata is rare and its optimal treatment is unknown. Here we report a case of osteomyelitis caused by C. glabrata in the distal phalanx in a 54-year-old woman. Despite partial resection of the nail and administering a 1-month course of antibiotics for paronychia, the local swelling remained and an osteolytic lesion was found. C. glabrata osteomyelitis of the distal phalanx was later diagnosed after curettage. Thereafter, the patient was treated with antifungal agents for 3 months. The infection eventually resolved, and radiological healing of the osteolytic lesion was achieved. Antifungal susceptibility testing should be performed in the case of osteomyelitis caused by nonalbicans Candida species, due to their resistance to fluconazole.
authors.affiliation: Tokushima Prefecture Naruto Hospital, 32 Kotani, Kurosaki, Muya-cho, Naruto-shi, Tokushima 772-8503, Japan ; National Hospital Organization Kochi National Hospital, 1-2-25 Asakuranishi-machi, Kochi 780-8081, Japan.
authors.forename: Shunichi
authors.identifier: 0000-0002-2546-6646
authors.initials: S
authors.lastname: Toki
authors.affiliation: Tokushima Prefecture Naruto Hospital, 32 Kotani, Kurosaki, Muya-cho, Naruto-shi, Tokushima 772-8503, Japan.
authors.forename: Naohito
authors.initials: N
authors.lastname: Hibino
authors.affiliation: Tokushima Prefecture Naruto Hospital, 32 Kotani, Kurosaki, Muya-cho, Naruto-shi, Tokushima 772-8503, Japan ; Institute of Health Biosciences, The University of Tokushima Graduate School Institution, Kuramoto-cho 3-18-15, Tokushima-shi, Tokushima 770-8503, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Sairyo
authors.affiliation: Tokushima Prefecture Naruto Hospital, 32 Kotani, Kurosaki, Muya-cho, Naruto-shi, Tokushima 772-8503, Japan.
authors.forename: Mitsuhiko
authors.identifier: 0000-0002-8134-1098
authors.initials: M
authors.lastname: Takahashi
authors.affiliation: Tokushima Prefecture Naruto Hospital, 32 Kotani, Kurosaki, Muya-cho, Naruto-shi, Tokushima 772-8503, Japan.
authors.forename: Shinji
authors.initials: S
authors.lastname: Yoshioka
authors.affiliation: Tokushima Prefecture Naruto Hospital, 32 Kotani, Kurosaki, Muya-cho, Naruto-shi, Tokushima 772-8503, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Yamano
authors.affiliation: Tokushima Prefecture Naruto Hospital, 32 Kotani, Kurosaki, Muya-cho, Naruto-shi, Tokushima 772-8503, Japan.
authors.forename: Tatsuhiko
authors.initials: T
authors.lastname: Henmi