Case ReportsFungal Arthritis of a Lumbar Facet Joint Because of Candida albicans A Case ReportTanabe, Tsuyoshi MD1; Takasaki, Minoru MD, PhD1,a; Kaneumi, Kousuke MD1; Hara, Masamitsu MD, PhD1 Author Information 1Department of Orthopedic Surgery, Harasanshin Hospital, Fukuoka, Japan aE mail address for M. Takasaki: [email protected] Investigation performed at the Harasanshin Hospital, Hakata Ward, Fukuoka, Japan Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSCC/B964). JBJS Case Connector 12(4):e22.00246, October-December 2022. | DOI: 10.2106/JBJS.CC.22.00246 Buy Metrics Abstract Case: A 73-year-old man who was treated in our hospital for pyelonephritis because of left ureteral stones and fungemia was referred to our orthopaedic department for persistent right lower-back pain. Magnetic resonance imaging and computed tomography findings showed pyogenic arthritis of the right L4/5 facet joint with a paraspinal muscle abscess. Based on cultures of samples aspirated from the lesions, we diagnosed the patient with fungal arthritis of the lumbar facet joint. We treated him conservatively with an antifungal agent for a year, and the infection resolved. Conclusion: This is the first report of hematogenous fungal arthritis of a lumbar facet joint. Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated
