ALFREDO J. RONCORONI, M.D.; JORGELINA SMAYEVSKY
To the editor: Phialophora species cause endocarditis (1) and arthritis (2). We report a case of chronic arthritis and endocarditis due to Exophiala jeanselmei (formerly Phialophora jeanselmei).
A 50-year-old man had surgery for a ventricular septal defect. In June 1980, he had osteoarthritis of the right knee. Steroids were injected intraarticulary. In 1981 and 1982, cultures of synovial fluid were sterile, and specimens from two synovial biopsies showed chronic inflammation. In September 1982, he had surgery for fever of unknown origin and pulmonary emboli. E. jeanselmei was isolated from the prosthetic patch. Antibodies against mycelial stage antigen were detected. The
RONCORONI AJ, SMAYEVSKY J. Arthritis and Endocarditis from Exophiala jeanselmei Infection. Ann Intern Med. ;108:773. doi: 10.7326/0003-4819-108-5-773_1
Download citation file:
Published: Ann Intern Med. 1988;108(5):773.
Cardiology, Endocarditis, Infectious Disease, Rheumatology.
Results provided by:
Copyright © 2018 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use