Candida Parapsilosis associated rice bodies in the extensor compartment of the wrist––an emerging finding

Candida parapsilosis has been considered an emerging pathogen with increasing incidence reported in the literature. As a normal commensal of human skin, it is likely that Candida species could gain access to soft tissues of the hand and wrist by direct inoculation, resulting in an infectious tenosyn...

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Main Authors: Chandana Kurra, MD, Miracle Caldwell, BA, Kristin Taylor, MD, Chidi Nwachukwu, MD, Mohammad Salar, MD, Marc B. Kaye, MD, Arun Gopinath, MD, Civan Altunkaynak, MD, Paul Wasserman, DO
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043319303218
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Summary:Candida parapsilosis has been considered an emerging pathogen with increasing incidence reported in the literature. As a normal commensal of human skin, it is likely that Candida species could gain access to soft tissues of the hand and wrist by direct inoculation, resulting in an infectious tenosynovitis. With the increased prevalence of intravenous drug use (IVDU), users are at increasing risk for musculoskeletal infections including soft tissue abscesses, cellulitis, tenosynovitis, and septic arthritis. Chronic tenosynovitis, with rice body formation in particular, is a comparatively rare musculoskeletal infection. Knowledge of this entity, the related pathogens, imaging findings, and the treatment plan is important not only to the treating clinician, but also to radiologists as the physiological and anatomic consequences can be detrimental to patient recovery. Keywords: Candida Parapsilosis, Extensor tendon, Wrist, Intravenous drug use
ISSN:1930-0433