We report a rare case of C. krusei knee arthritis treated with instillation of micafungin and arthroscopy. A 49-year-old man hospitalized for treatment of Acute Myeloid Leukemia developed knee arthritis with C. krusei. He was treated with a combination of arthroscopic debridement, intravenous as well as intra-articular micafungin. Serum and intra-articular concentrations of micafungin were determined. After instillation of micafungin in the knee and arthroscopic debridement, the patient completely recovered.

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doi.org/10.1016/j.mmcr.2019.12.011, hdl.handle.net/1765/122883
Medical Mycology Case Reports
Department of Orthopaedics

van Egmond, J.C. (Jeroen C.), Hunfeld, N., Rijnders, B., & Verhaar, J. (2020). Persistent candida arthritis successfully treated with micafungin instillation and surgery. A case report. Medical Mycology Case Reports, 27, 29–31. doi:10.1016/j.mmcr.2019.12.011