<i>Candida</i>Septic Arthritis with Rice Body Formation: A Case Report and Review of Literature

Jeong, Yu Mi; Cho, Hyun Yee; Lee, Sheen-Woo; Hwang, Yun Mi; Kim, Young-Kyu

doi:10.3348/kjr.2013.14.3.465

Cited by 28 publications

(37 citation statements)

References 16 publications

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“…In the upper extremity, Candida septic arthritis with rice bodies was reported only in the shoulder. 15) In our case No. 5, we administered antibiotic therapy for mycobacteriosis at first, because we had no experience with Candida tenosynovitis with rice body formation, and this inappropriate medication may have led to the recurrence of tenosynovitis.…”

Section: Discussionmentioning

confidence: 95%

Non-tuberculous Mycobacterium or Fungus Induced Chronic Tenosynovitis with Rice Body of the Hand

Yamamoto

Tada

Suganuma

et al. 2017

J Hand Surg Asian-Pac Vol

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Background: Chronic tenosynovitis of the wrist and hand is commonly seen by orthopedists, especially hand surgeons. However, cases with rice body formation are comparatively rare. Thus, we retrospectively reviewed the cases of chronic tenosynovitis in our department and evaluated the necessity of antibiotic therapy in the early post-surgical stage. Methods: We analyzed the medical and surgical records of patients who had undergone surgery for chronic tenosynovitis with rice body formation in our department from 1997 to 2015. We evaluated the causes of chronic tenosynovitis, culture findings, pathological findings, and post-operative treatment courses. Results: Nineteen patients with 23 involved hands underwent surgery for chronic tenosynovitis, and 9 patients had rice body formation. The most common cause of chronic tenosynovitis was non-tuberculous mycobacteriosis, and other causes were fungal infection and infection of unknown origin. Recurrence was observed in 2 cases of mycobacteriosis and 1 case of fungal infection; 1 case of mycobacteriosis also had a re-recurrence. Conclusions: In the diagnosis of chronic tenosynovitis with rice body formation, it is necessary to consider not only non-tuberculous mycobacteriosis, but also fungal infection as its origin. However, it is difficult to define the cause of synovitis, but in cases in which these infections are suspected, anti-bacterial therapy in the early post-surgical period could be effective.

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Section: Discussionmentioning

confidence: 95%

Non-tuberculous Mycobacterium or Fungus Induced Chronic Tenosynovitis with Rice Body of the Hand

Yamamoto

Tada

Suganuma

et al. 2017

J Hand Surg Asian-Pac Vol

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“…Five cases, including our case, were secondary to Candida parapsilosis [3, 7, 10, 11]. Two cases were secondary to Candida tropicalis [8, 9], and the other three were due to Candida albicans [1], Candida lusitaniae [13], and Candida glabrata [12] (one each).…”

Section: Discussionmentioning

confidence: 99%

Olecranon Bursitis Caused byCandida parapsilosisin a Patient with Rheumatoid Arthritis

Gamarra-Hilburn

Ríos

Vilá

2016

Case Reports in Rheumatology

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Septic bursitis is usually caused by bacterial organisms. However, infectious bursitis caused by fungi is very rare. Herein, we present a 68-year-old woman with long-standing rheumatoid arthritis who developed pain, erythema, and swelling of the right olecranon bursa. Aspiration of the olecranon bursa showed a white blood cell count of 3.1 × 103/μL (41% neutrophils, 30% lymphocytes, and 29% monocytes). Fluid culture was positive for Candida parapsilosis. She was treated with caspofungin 50 mg intravenously daily for 13 days followed by fluconazole 200 mg orally daily for one week. She responded well to this treatment but had recurrent swelling of the bursa. Bursectomy was recommended but she declined this option. This case, together with other reports, suggests that the awareness of uncommon pathogens, their presentation, and predisposing risk factors are important to establish an early diagnosis and prevent long-term complications.

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“…Rheumatoid arthritis is the most common rheumatological disorder associated with rice bodies [3]. Sero negative rheumatoid arthritis, Juvenile arthritis, hypergammaglobulinemic arthritis are other rare entities [7,8]. Rice bodies have also been seen in patients with non specific arthritis without any underlying rheumatological disorder and it has been seen these patients respond well to surgical debridement and joint lavage without any future recurrence [6,9].…”

Section: Discussionmentioning

confidence: 99%

Rice bodies: a rare presentation of tubercular arthritis of the knee joint

Ali¹,

Bhat²,

Bangroo³

et al. 2016

Prog Orthop Sci

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Rice bodies are most of the times encountered in rheumatological disorders. They have also been seen in tuberculosis, though rarely. With tuberculosis, rice bodies are usually associated with bursae and tenosynovium and very rarely with large joints. We report a rare case of intra articular rice bodies associated with tuberculosis of the knee joint that mimicked monoarticular rheumatoid arthritis and pigmented villonodular synovitis clinically, with absent constitutional and laboratory features suggestive of tuberculosis.

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CandidaSeptic Arthritis with Rice Body Formation: A Case Report and Review of Literature

Cited by 28 publications

References 16 publications

Non-tuberculous Mycobacterium or Fungus Induced Chronic Tenosynovitis with Rice Body of the Hand

Non-tuberculous Mycobacterium or Fungus Induced Chronic Tenosynovitis with Rice Body of the Hand

Olecranon Bursitis Caused byCandida parapsilosisin a Patient with Rheumatoid Arthritis

Rice bodies: a rare presentation of tubercular arthritis of the knee joint

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