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Rhodotorula and Methicillin-Resistant Staphylococcus Aureus Native Hip Joint Septic Arthritis and Osteomyelitis

Bush, Larry M. MD, FACP*‡; Chaparro-Rojas, Fredy MD§; Perez, Maria T. MD, FCAP

Infectious Diseases in Clinical Practice: November 2009 - Volume 17 - Issue 6 - p 397-398
doi: 10.1097/IPC.0b013e318198d8a6
Case Reports

Recent medical literature has brought to light the emergence of several fungal isolates as important pathogens. Many of these organisms previously believed to be nonpathogenic, or at best of low virulence, are now found to be important causes of morbidity and mortality, particularly in patients with severe underlying illnesses and compromised host defenses. The yeast-fungus, Rhodotorula, mostly associated with cases of fungemia, qualifies as such a pathogen. We describe a case of septic native hip joint arthritis and osteomyelitis due to coinfection with R. mucilaginosa and methicillin-resistant Staphylococcus aureus in a nonimmunocompromised man.

From the *University of Miami Miller School of Medicine, Florida Atlantic University Campus; †Department of Pathology and Laboratory Medicine, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami; ‡Division of Infectious Diseases, and §Department of Medicine, JFK Medical Center, Palm Beach County, FL.

Reprints: Larry M. Bush, MD, FACP, Atlantis Medical Center, 5503 South Congress Ave, Suite 104, Atlantis, FL 33462. E-mail:

© 2009 Lippincott Williams & Wilkins, Inc.