Successful Surgical Management of Septic Arthritis due to Trichosporon beigelii in a Patient with Acute Myeloid Leukaemia

Paul H. M. McWhinney From the Division of Communicable Diseases, Royal Free Hospital School of Medicine, London, England

J. Collin Madgwick Department of Orthopaedic Surgery, Royal Free Hospital School of Medicine, London, England

A. Victor Hoffbrand Academic Department of Haematology, Royal Free Hospital School of Medicine, London, England

Amrat Bhamra From the Division of Communicable Diseases, Royal Free Hospital School of Medicine, London, England

Christopher C. Kibbler From the Division of Communicable Diseases, Royal Free Hospital School of Medicine, London, England

Abstract

A Greek male with acute myeloid leukaemia (AML) developed a pyrexial illness while neutropenic and Trichosporon beigelii was isolated from his skin, blood and urine. This infection appeared to resolve with a rising neutrophil count, but recurred in the next episode of neutropenia. T. beigelii was isolated from an aspirate from an inflamed knee. Despite a rising neutrophil count resolution only occurred after surgical drainage and local irrigation with miconazole

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Successful Surgical Management of Septic Arthritis due to Trichosporon beigelii in a Patient with Acute Myeloid Leukaemia

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Successful Surgical Management of Septic Arthritis due to Trichosporon beigelii in a Patient with Acute Myeloid Leukaemia

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