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Case Reports
. 2020 Jun 19;12(6):e8699.
doi: 10.7759/cureus.8699.

Clavicular Osteomyelitis Secondary to Candida Parapsilosis Infection

Eukesh Ranjit  1 , John Roxborough  2 , Dean Davis  1   3 , Amit Sapra  1 , Priyanka Bhandari  1
Affiliations
Case Reports

Clavicular Osteomyelitis Secondary to Candida Parapsilosis Infection

Eukesh Ranjit et al. Cureus. .

Abstract

Candida parapsilosis osteomyelitis is a rare diagnosis. Candidal infection can occur via hematogenous or local spread. A localized swelling around a bony structure should raise clinical suspicion. Diagnosis is made by a combination of imaging modalities and biopsy. Anecdotal case reports have been reported in medical literature and treatment guidelines are very limited. Treatment modality includes a combination of surgical debridement and antifungal therapy.

Keywords: candida parapsilosis; candidal infection; clavicular osteomyelitis; debridement; family practice; fungal infection; general practice; multidisciplinary team; osteomyelitis; rare infection.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Diffuse swelling present around the medial end of the right clavicle (red arrow)
Figure 2
Figure 2. Ultrasound of the swelling shows a well-defined oval lesion around the medial end of the right clavicle (green dotted line)
Figure 3
Figure 3. CT of the chest showing right sternoclavicular septic joint with osteomyelitis at the head of the right clavicle's connection with the manubrium (red arrow)
CT: computed tomography
Figure 4
Figure 4. MRI of the right sternoclavicular joint showing right-sided sternoclavicular septic arthritis and osteomyelitis with associated periarticular abscess (red arrow)
MRI: magnetic resonance imaging
See this image and copyright information in PMC

References

    1. A history of osteomyelitis from the Journal of Bone and Joint Surgery: 1948 to 2006. Klenerman L. J Bone Joint Surg Br. 2007;89:667–670. - PubMed
    1. Fungal osteomyelitis and septic arthritis. Bariteau JT, Waryasz GR, McDonnell M, Fischer SA, Hayda RA, Born CT. J Am Acad Orthop Surg. 2014;22:390–401. - PubMed
    1. A curious case of Blastomyces osteomyelitis. Sapra A, Pham D, Ranjit E, Baig MQ, Hui J. Cureus. 2020;12:0. - PMC - PubMed
    1. Candida parapsilosis osteomyelitis. Lopez R, Hunter AR, Geoghegan O, Demertzi E. BMJ Case Rep. 2014;2014:0. - PMC - PubMed
    1. Clinical practice guidelines for the management candidiasis: 2009 update by the Infectious Diseases Society of America. Pappas PG, Kauffman CA, Andes D, et al. Clin Infect Dis. 2009;48:503–535. - PMC - PubMed

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