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Diagnosis and management of Candida utilis infectious arthritis in a Standardbred filly
Author(s) -
Cohen J. M.,
Ross M. W.,
Busschers E.
Publication year - 2008
Publication title -
equine veterinary education
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 31
eISSN - 2042-3292
pISSN - 0957-7734
DOI - 10.2746/095777308x321116
Subject(s) - medicine , lameness , infectious arthritis , fluconazole , arthritis , septic arthritis , amphotericin b , synovitis , antibiotics , debridement (dental) , microbiological culture , dermatology , surgery , antifungal , microbiology and biotechnology , bacteria , genetics , biology
Summary A 3‐year‐old Standardbred filly was admitted to the hospital for evaluation and management of previously diagnosed infectious arthritis of the right metacarpophalangeal joint (MCPJ). Candida utilis was isolated from multiple synovial samples submitted for bacterial culture and susceptibility. Following treatment with systemic and intra‐articular fluconazole and regional limb perfusion with amphotericin B and a second arthroscopic debridement the lameness improved and subsequent cultures were negative for bacterial or fungal growth. Infectious fungal arthritis should be a differential diagnosis for atypical or unresponsive joint infections especially in horses previously treated with a combination of intra‐articular corticosteroids and antibiotics.