장병증성 관절염에서 발생한 Candida Parapsilosis에 의한 감염성 관절염 1예
A Case of Candida Parapsilosis Infectious Arthritis in a Patient with Enteropathic Arthritis and Ulcerative Colitis
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초록
장병증성 관절염으로 면역 억제제 치료를 받은 환자에서 반복적인 활액 천자 및 스테로이드 주사를 받은 후, C. parapsilosis에 의한 진균 감염성 관절염을 처음으로 경험하였기에, 이에 대해 문헌고찰과 함께 보고하는 바이다.
Abstract
Infectious arthritis is an important medical emergency with high morbidity. The most frequent causative organism of infectious arthritis is Staphylococcus aureus, and Candida is an uncommon pathogen. Candida arthritis has been reported to occur in seriously ill or immunocompromised patients and neonates. We report the first case of C. parapsilosis arthritis in a patient with ulcerative colitis. A 52-year-old woman was diagnosed with ulcerative colitis 1 year previously and took balsalazide. Pain and swelling in the right knee joint developed 6 months after diagnosis. She was diagnosed with enteropathic arthritis associated with ulcerative colitis and took methotrexate, sulfasalazine, and prednisolone for 3 months, but the symptoms did not improve. We finally diagnosed her with infectious C. parapsilosis arthritis by culturing the synovial fluid. The patient received amphotericin B for 6 weeks and underwent arthroscopic synovectomy. She finally experienced improvement of inflammation in the right knee joint. (Korean J Med 2011;81:797-801)
참고문헌 (15)
- Mathews CJ, "Bacterial septic arthritis in adults", Lancet, 375, pp.846~855 (2010)
- Cha HS, "A case of Candida arthritis in chronic tophaceous gout", Korean J Med, 54, pp.105~108 (1998)
- Calvo Romero JM, "Candida arthritis in an immunocompetent patient without predisposing factors", Clin Rheumatol, 17, pp.393~394 (1998)
- Cuende E, "Candida arthritis in adult patients who are not intravenous drug-addicts: report of three cases and review of the literature", Semin Arthritis Rheum, 22, pp.224~241 (1993)
- Masoud M, "Candida parapsilosis septic arthritis in a renal transplant patient", J Clin Rheumatol, 14, pp.56~56 (2008)
- 이광선, "류마티스관절염 환자에서 Etanercept 사용 중 발생한 Candida Parapsilosis 윤활낭염 1예", 대한류마티스학회지, 15(2), pp.175~179 (2008), 대한류마티스학회
- Silveira LH, "Candida arthritis", Rheum Dis Clin North Am, 19, pp.427~437 (1993)
- Cuéllar ML, "Fungal arthritis", Ann Rheum Dis, 51, pp.690~697 (1992)
- Fainstein V, "Septic arthritis due to Candida species on patients with cancer: report of five cases and review of the literature", Rev Infect Dis, 4, pp.78~85 (1982)
- Weems JJ Jr, "Candida parapsilosis: epidemiology, pathogenicity, clinical manifestations, and antimicrobial susceptibility", Clin Infect Dis, 14, pp.756~766 (1992)
- Rudwaleit M, "Ankylosing spondylitis and bowel disease", Best Pract Res Clin Rheumatol, 20, pp.451~471 (2006)
- Wordsworth P, "Arthritis and inflammatory bowel disease", Current Rheumatology Reports, 2, pp.87~88 (2000)
- Fomberstein B, "Rheumatological complications of GI disorders", Am J Gastroenterol, 91, pp.1090~1103 (1996)
- Choi IS, "Candida polyarthritis in a renal transplant patient: case report of a patient successfully treated with amphotericin B", Transplant Proc, 32, pp.1963~1964 (2000)
- Hansen BL, "Fungal arthritis: a review", Scand J Rheumatol, 24, pp.248~250 (1995)