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Unexpected outcome (positive or negative) including adverse drug reactions
Case report
Septic arthritis caused by Candida albicans: post intra-articular steroid injection in a native joint
  1. Siok Li Chung1,
  2. Joseph Papanikitas1,
  3. David Johnstone2 and
  4. David McKean1
  1. 1Radiology Department, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK
  2. 2Orthopaedic, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK
  1. Correspondence to Dr Siok Li Chung; siokili.chung{at}nhs.net

Abstract

Intra-articular steroid injections are widely prescribed for management of osteoarthritis when oral medication or physiotherapy treatment fails to relieve patient’s pain. Septic arthritis is an uncommon side effect of steroid injection. Common causal micro-organisms are bacterial with Staphylococcus aureus being the most frequent. Fungal septic arthritis is rare and does not usually present beyond the neonatal period. We present a rare case of septic arthritis secondary to fungal infection.

  • infections
  • musculoskeletal and joint disorders
  • degenerative joint disease
  • osteoarthritis
  • orthopaedic and trauma surgery

https://doi.org/10.1136/bcr-2019-233841

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    Footnotes

    • Contributors SLC: drafted manuscript, acquisition, interpretation of data for the work and imaging data. Final approval of the version to be published; agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. JP: substantial contribution. Reported on patient initial imaging and followed patient up. Reviewed the manuscript. Final approval of the version to be published; agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. DJ: orthopaedic specialist that reviewed patient and managed care from time of diagnosis. Involved in revising manuscript critically for important intellectual content; final approval of the version to be published; and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. DM: substantial contributions to the conception of the work; or the acquisition of imaging, and critically revising the manuscript for important intellectual content; and final approval of the version to be published; and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.