Artigo

Histoplasmosis diagnosed after arthroscopy of the knee: case report

Maurício Barbosa Marin, Lorenzo Falster, JOAO LUIZ ELLERA GOMES

Brazilian Journal of Infectious Diseases, v. 19, n. 5, p. 546-548, 2015.

Motivo: Produção Colaborador HMV

Setor HMV: Centro de Ortopedia e Traumatologia

Área da saúde: Ortopedia e Traumatologia

Resumo: Fungal arthritis is a rare complication of arthroscopic surgeries, but its possibility should always be considered due its deleterious effects on any joint. Infection caused by the fungus Histoplasma capsulatum is the most common cause of respiratory tract infections by fungi, meanwhile histoplasmosis arthritis is more rare than all other fungal infections. However, their atypical forms of arthritis and the importance of early diagnosis and treatment cannot be over-emphasized. Herein we report a case of knee monoarthritis in an immunocompetent patient with histoplasmosis arthritis following an arthroscopic meniscetomy, diagnosed by synovial biopsy and culture performed during a second arthroscopic procedure. The joint was debrided in this second intervention and the patient received itraconazole initially and fluconazole latter on. The arthritis subsided after 10 months of treatment. (C) 2015 Elsevier Editora Ltda. All rights reserved.

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