{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:16:10Z","timestamp":1770740170510,"version":"3.49.0"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,9,28]]},"abstract":"<jats:p>A 51-year-old previously fit and healthy gentleman sustained a circular saw injury to his right thumb with partial amputation and an open multifragmentary fracture of his distal phalanx. He underwent open reduction and internal fixation under the hand surgery team. He developed a postoperative infection discharging pus 2\u2005weeks postoperatively, which later grew <jats:italic>Candida parapsilosis<\/jats:italic>. He underwent radical debridement and removal of a K-wire, then a further second debridement 2\u2005days later. Ceftriaxone was started empirically while awaiting cultures. Tissue and bone biopsy samples obtained in theatre all grew <jats:italic>C. parapsilosis<\/jats:italic> and he was started on caspofungin for 1\u2005week, and switched on to oral fluconazole to complete a 6-week course. He has progressed well and has regained function in his thumb after 3\u2005months, without any sign of ongoing infection.<\/jats:p>","DOI":"10.1136\/bcr-2014-206520","type":"journal-article","created":{"date-parts":[[2014,10,15]],"date-time":"2014-10-15T07:07:30Z","timestamp":1413356850000},"page":"bcr2014206520","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["<i>Candida parapsilosis<\/i> osteomyelitis"],"prefix":"10.1136","volume":"2014","author":[{"given":"Rekha","family":"Lopez","sequence":"first","affiliation":[{"name":"Department of Microbiology, Imperial College NHS Healthcare Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alistair Robert","family":"Hunter","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedics, Chelsea and Westminster, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orla","family":"Geoghegan","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Chelsea and Westminster, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elli","family":"Demertzi","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Imperial College NHS Healthcare Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,10,15]]},"reference":[{"key":"2025082805151888000_2014.oct15_1.bcr2014206520.1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis660"},{"key":"2025082805151888000_2014.oct15_1.bcr2014206520.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diagmicrobio.2012.02.004"},{"key":"2025082805151888000_2014.oct15_1.bcr2014206520.3","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-013-1939-0"},{"key":"2025082805151888000_2014.oct15_1.bcr2014206520.4","doi-asserted-by":"publisher","DOI":"10.1086\/596757"},{"key":"2025082805151888000_2014.oct15_1.bcr2014206520.5","doi-asserted-by":"publisher","DOI":"10.1086\/499057"},{"key":"2025082805151888000_2014.oct15_1.bcr2014206520.6","first-page":"842","article-title":"Geographical and temporal trends in isolation and antifungal susceptibility of Candida parapsilosis: a Global Assessment from the ARTEMIS DISK Antifungal Surveillance Program, 2001 to 2005","volume":"46","author":"Pfaller","year":"2008","journal-title":"J Clin Microbiol Infect Dis"},{"key":"2025082805151888000_2014.oct15_1.bcr2014206520.7","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.00856-07"},{"key":"2025082805151888000_2014.oct15_1.bcr2014206520.8","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00013-08"},{"key":"2025082805151888000_2014.oct15_1.bcr2014206520.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2004.06.033"},{"key":"2025082805151888000_2014.oct15_1.bcr2014206520.10","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2010.47.4.295"},{"key":"2025082805151888000_2014.oct15_1.bcr2014206520.11","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000131210.59316.2D"},{"key":"2025082805151888000_2014.oct15_1.bcr2014206520.12","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.01657-09"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-206520","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:15:26Z","timestamp":1756383326000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-206520"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10,15]]},"references-count":12,"alternative-id":["10.1136\/bcr-2014-206520"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-206520","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10,15]]}}}