Candida parapsilosis osteomyelitis. (15th October 2014)

• Record Type: Journal Article
• Authors: Lopez, Rekha; Hunter, Alistair Robert; Geoghegan, Orla; Demertzi, Elli
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-10-15
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-206520
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 51-year-old previously fit and healthy gentleman sustained a circular saw injury to his right thumb with partial amputation and an open multifragmentary fracture of his distal phalanx. He underwent open reduction and internal fixation under the hand surgery team. He developed a postoperative infection discharging pus 2 weeks postoperatively, which later grew Candida parapsilosis . He underwent radical debridement and removal of a K-wire, then a further second debridement 2 days later. Ceftriaxone was started empirically while awaiting cultures. Tissue and bone biopsy samples obtained in theatre all grew C. parapsilosis and he was started on caspofungin for 1 week, and switched on to oral fluconazole to complete a 6-week course. He has progressed well and has regained function in his thumb after 3 months, without any sign of ongoing infection.