Abstract
Septic arthritis demands early diagnosis and correct treatment if the function of the joint is to be restored. Sometimes, as in fungal infection, signs and symptoms may be mild and the diagnosis delayed. Nevertheless, the outcome of fungal arthritis is severe and usually causes joint disability. The authors report two patients with chronic monoarthritis due to Sporothrix schenckii infection diagnosed by synovial fluid cultures. Their clinical presentation, laboratory and image findings, and their treatment and follow-up are analyzed and compared to previously reported cases. These cases illustrate the differential diagnosis of monoarthritis in immunocompetent adults and picture clinical features that could lead to early diagnosis and proper treatment.
References
Cuellar ML, Silveira LH, Citera GE, Cabrera GE, Valle R (1993) Other fungal arthritides. Rheum Dis Clin North Am 19:439–455
Yacobucci GN, Santilli MD (1986) Sporotrichosis of the knee. A case report. Orthopedics 9:387–390
Kauffman CA, Hajjeh R, Chapman SW (2000) Practice Guidelines for the Management of Patients with Sporotrichosis. For the Mycosis Study Group Infections Diseases Society of America. Clin Infect Dis Relat Res 30:684–687
Howell SJ, Toohey JS (1998) Sporotrichal arthritis in south central Kansas. Clin Orthop 346:207–214
Mercurio MG, Elewski BE (1993) Therapy of sporotrichosis. Semin Dermatol 12:285–289
Heller HM, Fuhrer J (1991) Disseminated sporotrichosis in patients with AIDS: case report and review of the literature. AIDS 5:1243–1246
Sandhu K, Gupta S (2003) Potassium iodide remains the most effective therapy for cutaneous sporotrichosis. J Dermatolog Treat 14:200–202
Ozcan A, Senol M, Karaca S, Sener S, Polat M, Ozerol IH (2003) A case of sporotrichosis treated with itraconazole. Med Mycol 41:443–445
Hampton DE, Adesina A, Chodosh J (2002) Conjunctival sporotrichosis in the absence of antecedent trauma. Cornea 21:831–833
Ghosh A, Chakrabarti A, Hemashettar BM, Maiti PK (2001) In vitro susceptibility pattern of Sporothrix schenckii strains isolated from three centers in India. Indian J Med Res 113:214–220
McGinnis MR, Nordoff N, Li RK, Pasarell L, Warnock DW (2001) Sporothrix schenckii sensitivity to voriconazole, itraconazole and amphotericin B. Med Mycol 39:369–371
De Rosso JQ, Gupta AK (1999) Oral itraconazole therapy for superficial, subcutaneous, and systemic infections. A panoramic view. Postgrad Med 7:46–52
Wescott BL, Nasser A, Jarolim DR (1999) Sporothrix meningitis. Nurse Pract 24:90, 93–94, 97–98
Winn RE, Anderson J, Piper J, Aronson NE, Pluss J (1993) Systemic sporotrichosis treated with itraconazole. Clin Infect Dis 17:210–217
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Appenzeller, S., Amaral, T.N., Amstalden, E.M.I. et al. Sporothrix schenckii infection presented as monoarthritis: report of two cases and review of the literature. Clin Rheumatol 25, 926–928 (2006). https://doi.org/10.1007/s10067-005-0095-z
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10067-005-0095-z