{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:15:23Z","timestamp":1740165323761,"version":"3.37.3"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Rheumatology"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>Septic bursitis is usually caused by bacterial organisms. However, infectious bursitis caused by fungi is very rare. Herein, we present a 68-year-old woman with long-standing rheumatoid arthritis who developed pain, erythema, and swelling of the right olecranon bursa. Aspiration of the olecranon bursa showed a white blood cell count of<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mn fontstyle=\"italic\">3.1<\/mml:mn><mml:mo>\u00d7<\/mml:mo><mml:msup><mml:mrow><mml:mn fontstyle=\"italic\">10<\/mml:mn><\/mml:mrow><mml:mrow><mml:mn fontstyle=\"italic\">3<\/mml:mn><\/mml:mrow><\/mml:msup><mml:mo>\/<\/mml:mo><mml:mi>\u03bc<\/mml:mi><mml:mi mathvariant=\"normal\">L<\/mml:mi><\/mml:math>(41% neutrophils, 30% lymphocytes, and 29% monocytes). Fluid culture was positive for<jats:italic>Candida parapsilosis<\/jats:italic>. She was treated with caspofungin 50\u2009mg intravenously daily for 13 days followed by fluconazole 200\u2009mg orally daily for one week. She responded well to this treatment but had recurrent swelling of the bursa. Bursectomy was recommended but she declined this option. This case, together with other reports, suggests that the awareness of uncommon pathogens, their presentation, and predisposing risk factors are important to establish an early diagnosis and prevent long-term complications.<\/jats:p>","DOI":"10.1155\/2016\/2019250","type":"journal-article","created":{"date-parts":[[2016,8,9]],"date-time":"2016-08-09T21:00:36Z","timestamp":1470776436000},"page":"1-5","source":"Crossref","is-referenced-by-count":3,"title":["Olecranon Bursitis Caused by<i>Candida parapsilosis<\/i>in a Patient with Rheumatoid Arthritis"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8143-6217","authenticated-orcid":true,"given":"Carla F.","family":"Gamarra-Hilburn","sequence":"first","affiliation":[{"name":"Division of Rheumatology, Department of Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00936-5067, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grissel","family":"Rios","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00936-5067, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6679-2704","authenticated-orcid":true,"given":"Luis M.","family":"Vil\u00e1","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00936-5067, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(87)90895-3"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/S0049-0172(95)80008-5"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1136\/ard.61.3.279"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.d.01954"},{"issue":"2","key":"5","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1128\/JCM.20.2.271-273.1984","volume":"20","year":"1984","journal-title":"Journal of Clinical Microbiology"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9343(03)00287-0"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/00124743-199508000-00006"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(76)90728-2"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.248.9.1098"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2013.14.3.465"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s10165-012-0594-0"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.3113\/jsoa.2013.0179"},{"issue":"3","key":"13","first-page":"598","volume":"25","year":"1998","journal-title":"Journal of Rheumatology"},{"issue":"6","key":"14","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1128\/JCM.25.6.1029-1032.1987","volume":"25","year":"1987","journal-title":"Journal of Clinical Microbiology"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.3109\/10408410903213393"}],"container-title":["Case Reports in Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crirh\/2016\/2019250.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crirh\/2016\/2019250.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crirh\/2016\/2019250.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T23:41:55Z","timestamp":1600990915000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/crirh\/2016\/2019250\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":15,"alternative-id":["2019250","2019250"],"URL":"https:\/\/doi.org\/10.1155\/2016\/2019250","relation":{},"ISSN":["2090-6889","2090-6897"],"issn-type":[{"type":"print","value":"2090-6889"},{"type":"electronic","value":"2090-6897"}],"subject":[],"published":{"date-parts":[[2016]]}}}