Case Report: Arthrocladium fulminans Arthritis and Osteomyelitis

Abdoulahy Diallo , Céline Michaud (1, 2) , Souandou Tabibou , Maxime Raz , Carla Fernandez (3) , Hubert Lepidi (4) , Pierre-Edouard Fournier (4) , Andreas Stein (4) , Stephane Ranque (5) , Piseth Seng (6)

1 OKTAL-SE
2 IRIT-STORM - Structural Models and Tools in Computer Graphics
3 CHU La Réunion - Centre Hospitalier Universitaire de La Réunion
4 URMITE - Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes
5 IHU Marseille - Institut Hospitalier Universitaire Méditerranée Infection
6 SMIT - Service des Maladies Infectieuses et Tropicales [Hôpital de la Conception]

Arthrocladium fulminans is the only species in the Arthrocladium genus that has been involved in a previous human infection. To date, only one case of A. fulminans infection in a patient with GATA-2 immunodeficiency has been reported. We here report the second human case and the first case of septic arthritis and osteomyelitis due to A. fulminans in an immunocompetent patient, living in Mayotte, a French island in western Indian Ocean. He was successfully treated with surgical debridement and 6 months of antifungal treatment. This second observation of human invasive disease caused by A. fulminans is an additional argument for the pathogenicity of this rare species.

Domaines: Maladies infectieuses

Abdoulahy Diallo, Céline Michaud, Souandou Tabibou, Maxime Raz, Carla Fernandez, et al.. Case Report: Arthrocladium fulminans Arthritis and Osteomyelitis. American Journal of Tropical Medicine and Hygiene, 2017, 96 (3), pp.698-700. ⟨10.4269/ajtmh.16-0185⟩. ⟨hal-01774350⟩