Because candidiasis is usually associated with immunosuppression, candida arthritis in an immunocompetent patient is rare. The symptoms of candidiasis are similar to bacterial infections, tuberculosis, and autoimmune diseases. In our patient with no predisposing factors, candida arthritis was initially excluded because the probability of occurrence was low. The patient had no leukocytosis, the acid-fast bacteria (AFB) stain was negative, and the autoimmune antibody screen was negative. After Candida parapsilosis was cultured in the synovial fluid, the patient was treated with amphotericin B (0.7 mg/kg/day) and oral fluconazole (400 mg/day). The treatment was successful and there were no side effects of the medications.
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机译：由于念珠菌病通常与免疫抑制有关，因此在具有免疫能力的患者中很少出现念珠菌性关节炎。念珠菌病的症状类似于细菌感染，结核病和自身免疫性疾病。在我们没有诱发因素的患者中，最初排除了念珠菌性关节炎，因为发生的可能性很低。该患者无白细胞增多，耐酸细菌（AFB）染色阴性，自身免疫抗体筛查阴性。在滑液中培养了副念珠菌后，用两性霉素B（0.7 mg / kg /天）和口服氟康唑（400 mg /天）治疗该患者。治疗是成功的，并且没有药物的副作用。
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