Arthrocladium fulminans Arthritis and Osteomyelitis

Abdoulahy Diallo Service de Médecine Polyvalente, Centre Hospitalier de Mayotte, Mamoudzou, Mayotte.

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Céline Michaud Service de Médecine Polyvalente, Centre Hospitalier de Mayotte, Mamoudzou, Mayotte.

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Souandou Tabibou Service de Médecine Polyvalente, Centre Hospitalier de Mayotte, Mamoudzou, Mayotte.

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Maxime Raz Laboratoire de Biologie Médicale, Centre Hospitalier de Mayotte, Mamoudzou, Mayotte.

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Carla Fernandez Service d'Anatomie Pathologique, CHU Félix-Guyon, Saint-Denis, Réunion.

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Hubert Lepidi Aix Marseille Université, INSERM 1095, CNRS 7278, IRD 198, URMITE, Marseille, France.

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Pierre-Edouard Fournier Aix Marseille Université, INSERM 1095, CNRS 7278, IRD 198, URMITE, Marseille, France.

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Andreas Stein Aix Marseille Université, INSERM 1095, CNRS 7278, IRD 198, URMITE, Marseille, France.
Assistance Publique–Hôpitaux de Marseille (APHM), Service de Maladies Infectieuses, Centre Hospitalier Universitaire de la Conception, Marseille, France.
Centre de Référence des Infections Ostéo-Articulaires (CRIOA) Interrégional Sud-Méditerranée, Hôpital de la Conception, Marseille, France.

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Stéphane Ranque IP-TPT UMR MD3, Aix Marseille Université, Marseille, France.
Parasitologie and Mycologie, Hôpital de la Timone, Assistance Publique–Hôpitaux de Marseille, Marseille, France.

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Piseth Seng Aix Marseille Université, INSERM 1095, CNRS 7278, IRD 198, URMITE, Marseille, France.
Assistance Publique–Hôpitaux de Marseille (APHM), Service de Maladies Infectieuses, Centre Hospitalier Universitaire de la Conception, Marseille, France.
Centre de Référence des Infections Ostéo-Articulaires (CRIOA) Interrégional Sud-Méditerranée, Hôpital de la Conception, Marseille, France.

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Arthrocladium fulminans is the only species in the Arthrocladium genus that has been involved in a previous human infection. To date, only one case of A. fulminans infection in a patient with GATA-2 immunodeficiency has been reported. We here report the second human case and the first case of septic arthritis and osteomyelitis due to A. fulminans in an immunocompetent patient, living in Mayotte, a French island in western Indian Ocean. He was successfully treated with surgical debridement and 6 months of antifungal treatment. This second observation of human invasive disease caused by A. fulminans is an additional argument for the pathogenicity of this rare species.

Author Notes

* Address correspondence to Piseth Seng, Centre de Référence des Infections Ostéo-Articulaires Interrégional Sud-Méditerranée, Hôpital de la Conception, 147, Boulevard Baille, Marseille, France. E-mail: sengpiseth@yahoo.fr

Authors' addresses: Abdoulahy Diallo, Céline Michaud, and Souandou Tabibou, Service de Médecine Polyvalente, Centre Hospitalier de Mayotte, Mamoudzou, Mayotte, E-mails: am.diallo@chmayotte.fr, celine.michaud@chmayotte.fr, and souandou.tabibou@chmayotte.fr. Maxime Raz, Laboratoire de Biologie Médicale, Centre Hospitalier de Mayotte, Mamoudzou, Mayotte, E-mail: maxime.raz@chmayotte.fr. Carla Fernandez, Service d'Anatomie Pathologique, Centre Hospitalier Universitaire de la Reunion, Saint-Denis, Réunion, E-mail: carla.fernandez@chu-reunion.fr. Hubert Lepidi and Pierre-Edouard Fournier, Aix Marseille Université, INSERM 1095, CNRS 7278, IRD 198, URMITE, Marseille, France, E-mails: hubert.lepidi@ap-hm.fr and pierre-edouard.fournier@univ-amu.fr. Andreas Stein and Piseth Seng, Aix Marseille Université, INSERM 1095, CNRS 7278, IRD 198, URMITE, Marseille, France, Assistance Publique–Hôpitaux de Marseille, Service de Maladies Infectieuses, Centre Hospitalier Universitaire de la Conception, Marseille, France, and Centre de Référence des Infections Ostéo-Articulaires (CRIOA) Interrégional Sud-Méditerranée, Hôpital de la Conception, Marseille, France, E-mails: andreas.stein@ap-hm.fr and sengpiseth@yahoo.fr. Stéphane Ranque, IP-TPT UMR MD3, Aix Marseille Université, Marseille, France, E-mail: stephane.ranque@ap-hm.fr.

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