Abstract

There are very few reports of bacteriologically proven Candida arthritis. With the increasing number of cases of immune deficient infants being treated now, one must expect an increase in frequency of fungus infections, including Candida arthritis. We have observed three cases of fungus arthritis in infants with reduced resistance. The radiological changes were indistinguishable from bacterial arthritides. During the acute phase the accumulation of pus and exudate showed widening of the joint space on the radiograph, with increase of the peri-articular soft tissues. In two patients a central bone abscess was seen in the metaphysis which later showed a sclerotic margin. In one patient with a gonarthritis there was complete healing, but in two fungus infections of the hip there was persistent late demage. One patient developed a deformed hip joint with subluxation, which had to be treated surgically after ineffective medical treatment. In the other case there was considerable flattening of the femoral head.

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