Candida costochondritis associated with recent intravenous drug use

Crawford, Simeon; Swan, Christopher David; Boutlis, Craig S.; Reid, Alistair

doi:10.1016/j.idcr.2016.04.002

Cited by 7 publications

(4 citation statements)

References 11 publications

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“…Thoracic wall involvement can be observed as an extension of the pulmonary infection occurring in aspergillosis, manifesting as lytic lesions in costal arches and vertebrae, being best characterized in tomography and magnetic resonance imaging studies ( 41 ) . Involvement of the chest wall, in the form of costochondritis, has been reported in intravenous drug users ( 42 ) .…”

Section: Tomographic Patterns Of Thoracic Involvementmentioning

confidence: 99%

Tomographic assessment of thoracic fungal diseases: a pattern and signs approach

et al. 2018

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Pulmonary fungal infections, which can be opportunistic or endemic, lead to considerable morbidity and mortality. Such infections have multiple clinical presentations and imaging patterns, overlapping with those of various other diseases, complicating the diagnostic approach. Given the immensity of Brazil, knowledge of the epidemiological context of pulmonary fungal infections in the various regions of the country is paramount when considering their differential diagnoses. In addition, defining the patient immunological status will facilitate the identification of opportunistic infections, such as those occurring in patients with AIDS or febrile neutropenia. Histoplasmosis, coccidioidomycosis, and paracoccidioidomycosis usually affect immunocompetent patients, whereas aspergillosis, candidiasis, cryptococcosis, and pneumocystosis tend to affect those who are immunocompromised. Ground-glass opacities, nodules, consolidations, a miliary pattern, cavitary lesions, the halo sign/reversed halo sign, and bronchiectasis are typical imaging patterns in the lungs and will be described individually, as will less common lesions such as pleural effusion, mediastinal lesions, pleural effusion, and chest wall involvement. Interpreting such tomographic patterns/signs on computed tomography scans together with the patient immunological status and epidemiological context can facilitate the differential diagnosis by narrowing the options.

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Section: Tomographic Patterns Of Thoracic Involvementmentioning

confidence: 99%

Tomographic assessment of thoracic fungal diseases: a pattern and signs approach

et al. 2018

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“…Candida spp. is rarely detected in blood culture, and fungal infections are confirmed by culture of debrided tissue [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Candida costochondritis has been described in association with an injectable drug (heroin), but there have been few reports in recent years. [ 3 ]. In the present case, candida costochondritis occurred after a small bowel perforation associated with traffic trauma.…”

Section: Introductionmentioning

confidence: 99%

Candida Costochondritis Induced by Traumatic Small Bowel Perforation: A Case Report

Nakamura,

Makiguchi,

Tsunoda

et al. 2023

Cureus

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Candida osteomyelitis is a manifestation of invasive candidiasis. The common sites of infection are the vertebra, sternum, and femur, whereas infection of the rib cartilage is very rare. In the present case, candida costochondritis developed after traumatic small-bowel perforation. An 82-year-old man was involved in a traffic accident while walking. His past medical history was insignificant. He was diagnosed with a pelvic fracture and perforation of the small intestine and underwent open reduction and internal fixation of the pelvic fracture and an enterectomy. Three months after the injury, swelling was observed in the right anterior thoracic region. Swelling was treated by incision and drainage but persisted in the form of infected granulation tissue. Debridement, including rib cartilage removal, was done. Biopsy and culture of the removed granulation tissue and cartilage tissue confirmed candida costochondritis. Fluconazole was administered for six months. No recurrence has been observed in the seven months postoperatively. Candida costochondritis is rare but is often refractory and requires extensive debridement in addition to the administration of antifungal agents. This disease should be included in the differential diagnosis when pain, erythema, swelling, skin ulceration, or infected granulation is found on affected costal cartilages.

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“…Igualmente, no hemos encontrado ningún caso en la literatura en la que una costocondritis por Candida spp. se haya manejado sin tratamiento quirúrgico 10 , 11 , 12 , 13 .…”

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Costocondritis y espondilitis diferidas por Candida en paciente post-COVID-19 tratado previamente con corticoides, antibióticos y tocilizumab

Gorospe‐Sarasúa

Gallego-Rivera

Muñoz-Molina

et al. 2021

Archivos de Bronconeumología

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Candida costochondritis associated with recent intravenous drug use

Cited by 7 publications

References 11 publications

Tomographic assessment of thoracic fungal diseases: a pattern and signs approach

Tomographic assessment of thoracic fungal diseases: a pattern and signs approach

Candida Costochondritis Induced by Traumatic Small Bowel Perforation: A Case Report

Costocondritis y espondilitis diferidas por Candida en paciente post-COVID-19 tratado previamente con corticoides, antibióticos y tocilizumab

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