一名2个月大婴儿患念珠菌性化脓性关节炎并形成米粒体的病例。

A case of Candida septic arthritis with rice body formation in a 2-month-old infant.

作者信息

d'Aleo Francesco, Bonanno Roberta, Midiri Angelina, Mancuso Giuseppe, Cordaro Stefania, Warm Amiel, Verduci Elisa, Beninati Concetta, Biondo Carmelo

机构信息

Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.

Department of Human Pathology, University of Messina, Messina, Italy.

出版信息

Infez Med. 2017 Dec 1;25(4):374-376.

PMID:29286020

Abstract

We present a case of rice body formation in the left knee joint of a 2-month-old infant affected by Candida albicans septic arthritis which has never been reported before. Rice body formation has been described in association with rheumatoid or tuberculous arthritis and is very rare in Candida arthritis. After three weeks of therapy with amphotericin B administered intravenously, the infant recovered fully from infection. Septic arthritis is a serious cause of morbidity and for proper evaluation and treatment fungal septic arthritis should be included in the differential diagnosis.

摘要

我们报告一例2个月大婴儿左膝关节念珠菌性化脓性关节炎伴米粒体形成的病例，此前未见报道。米粒体形成与类风湿性关节炎或结核性关节炎相关，在念珠菌性关节炎中非常罕见。经静脉注射两性霉素B治疗三周后，婴儿感染完全康复。化脓性关节炎是发病的严重原因，为进行正确评估和治疗，真菌性化脓性关节炎应列入鉴别诊断。