Persistent candida arthritis successfully treated with micafungin instillation and surgery. A case report

Persistent candida arthritis successfully treated with micafungin instillation and surgery. A case report:

Publication date: Available online 17 December 2019

Source: Medical Mycology Case Reports

Author(s): Jeroen C. van Egmond, Nicole G.M. Hunfeld, Bart J.A. Rijnders, Jan A.N. Verhaar

Abstract

We report a rare case of C. krusei knee arthritis treated with instillation of micafungin and arthroscopy. A 49-year-old man hospitalized for treatment of Acute Myeloid Leukemia developed knee arthritis with C. krusei. He was treated with a combination of arthroscopic debridement, intravenous as well as intra-articular micafungin. Serum and intra-articular concentrations of micafungin were determined. After instillation of micafungin in the knee and arthroscopic debridement, the patient completely recovered.