Haapasaari J, Essen R V, Kahanpää A, Kostiala A A, Holmberg K, Ahlqvist J
Br Med J (Clin Res Ed). 1982 Oct 2;285(6346):923-4. doi: 10.1136/bmj.285.6346.923.
Petriellidium boydii is often isolated from maduromycosis but has recently been associated with arthritis. A previously healthy 6-year-old boy developed chronic purulent arthritis of the knee after a bicycle accident. Culture of aspirate grew no pathogens and antibiotic treatment had no effect. Culture of synovial fluid grew P boydii, which responded initially to amphotericin but reappeared after six months. Subsequent treatment with miconazole was stopped after development of haematuria. The fungus was sensitive to ketoconazole, and treatment with this drug cured the infection. With the introduction of ketoconazole it is of practical importance to recognise fungal infections.
博伊德嗜皮菌常从足分支菌病中分离出来，但最近也与关节炎有关。一名此前健康的6岁男孩在一次自行车事故后患上了膝关节慢性化脓性关节炎。抽吸物培养未发现病原体，抗生素治疗无效。滑膜液培养长出了博伊德嗜皮菌，最初对两性霉素有反应，但6个月后复发。随后使用咪康唑治疗，在出现血尿后停药。该真菌对酮康唑敏感，用此药治疗治愈了感染。随着酮康唑的引入，识别真菌感染具有实际重要性。
