Case report: Infrapatellar bursitis caused by Prototheca wickerhamii

Dorien Van den Bossche; Roel de Haan; Jutte Van der Werff Ten Bosch; Wim Van Hecke; Françoise Symoens; Ina Van den Borre; Sabine Allard; Annelies De Bel

doi:10.1016/j.mmcr.2012.03.002

Case report: Infrapatellar bursitis caused by Prototheca wickerhamii

Med Mycol Case Rep. 2012 Mar 29;1(1):13-6. doi: 10.1016/j.mmcr.2012.03.002. eCollection 2012.

Authors

Dorien Van den Bossche¹, Roel de Haan², Jutte Van der Werff Ten Bosch³, Wim Van Hecke⁴, Françoise Symoens⁵, Ina Van den Borre⁶, Sabine Allard⁷, Annelies De Bel¹

Affiliations

¹ Department of Microbiology and Infection Control, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Laarbeeklaan 101, 1090 Brussels, Belgium.
² Department of Orthopedic Surgery and Traumatology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Laarbeeklaan 101, 1090 Brussels, Belgium.
³ Department of Pediatric Hematology, Oncology and Immunology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Laarbeeklaan 101, 1090 Brussels, Belgium.
⁴ Department of Pathology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Laarbeeklaan 101, 1090 Brussels, Belgium.
⁵ Mycology and Aerobiology Section, Scientific Institute of Public Health, Juliette Wytsmanstraat 14, 1050 Brussels, Belgium.
⁶ Department of Clinical Pharmacology and Pharmacotherapy, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Laarbeeklaan 101, 1090 Brussels, Belgium.
⁷ Department of Internal Medicine and Infectious Diseases, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Laarbeeklaan 101, 1090 Brussels, Belgium.

Abstract

A 54-year-old immunocompetent man presented with an infrapatellar bursitis caused by Prototheca wickerhamii. Because of clinical and microbiological relapse two weeks after bursectomy, six weekly injections of 5 mg of conventional amphotericin B were chosen for intrabursal treatment. Four months after completion of the treatment, the patient remains cured.

Keywords: Amphotericin B; Bursitis; Glucocorticoids; Prototheca.