title: Candida arthritis in a patient diagnosed with spondyloarthritis.
abstract: Candida arthritis is an unusual manifestation that usually affects the knees. A 35-year-old man presented with a 2-month history of pain and swelling in the right knee. Swelling persisted after anti-inflammatory treatment. Peripheric spondyloarthritis was considered, but methotrexate, sulfasalazine, and methylprednisolone did not reduce the swelling. Direct examination of synovial fluid and a culture were positive for Candida albicans. Intravenous and intra-articular amphotericin-B were administered. The arthritis regressed and a culture and direct staining showed negative results. Candida arthritis should be considered in patients with arthritis that is resistant to treatment and prolonged, even if risk factors are absent.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Dicle University, Diyarbakir, Turkey.
authors.forename: Remzi
authors.initials: R
authors.lastname: Çevik
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Dicle University Diyarbakir, Turkey.
authors.forename: Recep
authors.initials: R
authors.lastname: Tekin
authors.affiliation: Department of Orthopaedics, Faculty of Medicine, Dicle University, Diyarbakir, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Gem
mesh_terms: D000328:Adult; D000843:Ankle Joint / Q000382:microbiology*; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000382:microbiology*; D002176:Candida albicans / Q000302:isolation & purification*; D002177:Candidiasis / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D025241:Spondylarthritis / Q000175:diagnosis