A rare cause of osteomyelitis of distal phalanx: Candida lusitaniae.

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  • Author(s): Acar E;Acar E; Bezirgan U
  • Source:
    Joint diseases and related surgery [Jt Dis Relat Surg] 2021; Vol. 32 (2), pp. 556-559. Date of Electronic Publication: 2021 Jun 11.
  • Publication Type:
    Case Reports; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Turkish Joint Diseases Foundation Country of Publication: Turkey NLM ID: 101764223 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2687-4792 (Electronic) Linking ISSN: 26874792 NLM ISO Abbreviation: Jt Dis Relat Surg Subsets: MEDLINE
    • Publication Information:
      Original Publication: Ankara, Turkey : Turkish Joint Diseases Foundation, [2020]-
    • Subject Terms:
      Finger Phalanges/*physiopathology ; Mycoses/*diagnosis ; Osteomyelitis/*diagnosis ; Saccharomycetales/*isolation & purification; Candidiasis/diagnosis ; Candidiasis/diagnostic imaging ; Candidiasis/microbiology ; Female ; Humans ; Middle Aged ; Mycoses/diagnostic imaging ; Mycoses/microbiology ; Osteomyelitis/diagnostic imaging ; Osteomyelitis/microbiology ; Turkey
    • Abstract:
      Osteomyelitis of the phalanx caused by Candida species are rare. A 49-year-old female patient was admitted to an external center with a splinter injury of the third phalanx of the middle finger of her left hand about 45 days ago. She was referred to our clinic with persistent pain and discharge, despite four-week antibiotherapy. Debridement and curettage were performed and partial excision of the distal phalanx at an appropriate level was done. Her complaints gradually resolved postoperatively with prescribed antibiotics for the pathogen identified as Candida lusitaniae based on the intraoperative cultures. At her three-month follow-up visit, treatment yielded near-excellent results. To the best of our knowledge, this is the first case of osteomyelitis of the distal phalanx caused by Candida lusitaniae in the literature, highlighting the importance of definitive diagnosis and pathogen-specific treatment, rather than empirical treatment, to achieve favorable results with cure.
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    • Subject Terms:
      Clavispora lusitaniae
    • Publication Date:
      Date Created: 20210619 Date Completed: 20210715 Latest Revision: 20231107
    • Publication Date:
      20231107
    • Accession Number:
      PMC8343857
    • Accession Number:
      10.52312/jdrs.2021.79490
    • Accession Number:
      34145840