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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spelling doaj-36720a858439447b8b759171e4678d4b2020-11-25T01:46:40ZengElsevierRadiology Case Reports1930-04332019-12-01141215391544Candida Parapsilosis associated rice bodies in the extensor compartment of the wrist––an emerging findingChandana Kurra, MD0Miracle Caldwell, BA1Kristin Taylor, MD2Chidi Nwachukwu, MD3Mohammad Salar, MD4Marc B. Kaye, MD5Arun Gopinath, MD6Civan Altunkaynak, MD7Paul Wasserman, DO8Department of Radiology, University of Florida, 655 West 8th Street, Jacksonville, FL 32209 USA; Corresponding author.Jacksonville University, Jacksonville, FL, USADepartment of Radiology, University of Florida, 655 West 8th Street, Jacksonville, FL 32209 USADepartment of Radiology, University of Florida, 655 West 8th Street, Jacksonville, FL 32209 USADepartment of Orthopedic Surgery, University of Florida, 655 West 8th Street, Jacksonville, FL 32209 USADepartment of Orthopedic Surgery, University of Florida, 655 West 8th Street, Jacksonville, FL 32209 USADepartment of Pathology, University of Florida, 655 West 8th Street, Jacksonville, FL 32209 USADepartment of Pathology, University of Florida, 655 West 8th Street, Jacksonville, FL 32209 USADepartment of Radiology, University of Florida, 655 West 8th Street, Jacksonville, FL 32209 USACandida 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 usehttp://www.sciencedirect.com/science/article/pii/S1930043319303218
collection DOAJ
language English
format Article
sources DOAJ
author 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
spellingShingle 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
Candida Parapsilosis associated rice bodies in the extensor compartment of the wrist––an emerging finding
Radiology Case Reports
author_facet 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
author_sort Chandana Kurra, MD
title Candida Parapsilosis associated rice bodies in the extensor compartment of the wrist––an emerging finding
title_short Candida Parapsilosis associated rice bodies in the extensor compartment of the wrist––an emerging finding
title_full Candida Parapsilosis associated rice bodies in the extensor compartment of the wrist––an emerging finding
title_fullStr Candida Parapsilosis associated rice bodies in the extensor compartment of the wrist––an emerging finding
title_full_unstemmed Candida Parapsilosis associated rice bodies in the extensor compartment of the wrist––an emerging finding
title_sort candida parapsilosis associated rice bodies in the extensor compartment of the wrist––an emerging finding
publisher Elsevier
series Radiology Case Reports
issn 1930-0433
publishDate 2019-12-01
description 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
url http://www.sciencedirect.com/science/article/pii/S1930043319303218
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