Overview
Fungal arthritis is an infection of the joint caused by fungi 12. It can occur in endemic areas or be iatrogenically acquired 12.Diagnosis
Consider fungal arthritis in patients from endemic areas with disseminated disease 1.
Consider iatrogenic fungal infection postoperatively, especially if initial cultures are negative 2.
Erosive changes can occur, even with minimal cartilage invasion 3.Management
Early diagnosis and treatment are emphasized 1.
Treatment strategies for specific fungal agents are not detailed in the provided abstracts.Special Populations
Patients with leukemia may be at risk for disseminated candidiasis and subsequent fungal arthritis 3.Key Recommendations
Consider fungal arthritis in individuals from endemic areas who present with disseminated disease 1. (Evidence: Weak)
Consider the possibility of iatrogenic fungal infection in postoperative patients, particularly if initial cultures are negative 2. (Evidence: Weak)
Early diagnosis and treatment are important for fungal arthritis 1. (Evidence: Expert opinion)References
1 Castañeda OJ, Alarcón GS, García MT, Lumbreras H. Paracoccidioides brasiliensis arthritis. Report of a case and review of the literature. The Journal of rheumatology 1985. link
2 Arnold HJ, Dini A, Jonas G, Zorn EL. Candida albicans arthritis in a healthy adult. Southern medical journal 1981. link
3 Gerster JC, Glauser MP, Delacretaz F, Nguyen T. Erosive candida arthritis in a patient with disseminated candidiasis. The Journal of rheumatology 1980. link