title: Mycotic Septic Arthritis of the Ankle Joint.
abstract: Septic arthritis is a debilitating acute orthopedic emergency. Unfortunately, the diagnosis can be delayed or missed in immunocompromised patients with diabetes mellitus, and the result can be catastrophic. These patients are also at risk for atypical infections, including mycotic subtypes, which are more insidious than their more aggressive, more common Staphylococcus counterparts. The result is increased morbidity. In this article, we report a case of Candida albicans septic arthritis in a patient with diabetes mellitus and rheumatoid arthritis. Her case highlights the complexities of this specific disease entity. With early diagnosis, treatment is multimodal, involving surgical débridement and prolonged antifungal therapy.
authors.affiliation: Department of Trauma and Orthopaedics, Royal Victoria Hospital, Belfast, Northern Ireland. atuc@hotmail.com.
authors.forename: Adam
authors.initials: A
authors.lastname: Tucker
authors.forename: Scott
authors.initials: S
authors.lastname: Matthews
authors.forename: Alister
authors.initials: A
authors.lastname: Wilson
mesh_terms: D000843:Ankle Joint / Q000382:microbiology / Q000601:surgery*; D000935:Antifungal Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000150:complications / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D001172:Arthritis, Rheumatoid / Q000150:complications; D002176:Candida albicans / Q000302:isolation & purification*; D002177:Candidiasis / Q000150:complications / Q000601:surgery*; D003646:Debridement; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D005260:Female; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents