| Issue |
SICOT-J
Volume 7, 2021
|
|
|---|---|---|
| Article Number | 60 | |
| Number of page(s) | 5 | |
| Section | Shoulder | |
| DOI | https://doi.org/10.1051/sicotj/2021057 | |
| Published online | 29 November 2021 | |
Case Report
“Debaryomyces subglobosus” – Management of a rare case of fungal septic arthritis post arthroscopic rotator cuff repair – a case report
1
Department of Orthopaedics, Parvathy Ortho Hospital, Chennai 600044, India
2
Department of Plastic Surgery, Parvathy Ortho Hospital, Chennai 600044, India
3
Department of Microbiology, Sree Balaji Medical College & Hospital, Chennai 600044, India
* Corresponding author: aizelsherief@gmail.com
Received:
30
September
2021
Accepted:
29
October
2021
Fungal septic arthritis of the shoulder is extremely rare in post arthroscopic rotator cuff repair patients. We report our experience in successfully identifying and managing a rare case of fungal septic arthritis with Debaryomyces subglobosus in an uncontrolled diabetic patient who underwent arthroscopic rotator cuff repair in 2019. Our patient had complete resolution of symptoms and a reasonable functional recovery within 2 months of debridement and initiation of the specific anti-fungal. This case highlights the importance of high clinical suspicion for atypical fungal infections, and the use of culture-independent modern diagnostic tools like DNA-PCR as adjuncts to successfully identify rare pathogens in immunodeficient patients presenting with vague, nonspecific symptoms of infection.
Key words: Shoulder / Arthroscopy / Rotator cuff repair / Uncontrolled diabetic / Fungal Septic Arthritis
© The Authors, published by EDP Sciences, 2021
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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