Jb. Madison et al., AMPHOTERICIN-B TREATMENT OF CANDIDA-ARTHRITIS IN 2 HORSES, Journal of the American Veterinary Medical Association, 206(3), 1995, pp. 338-341
Infectious arthritis caused by Candida spp was diagnosed in 2 horses.
Source of infection was by direct inoculation in 1 horse and was presu
med to be hematogenous in the other horse. On microbial culturing of s
ynovial fluid and synovial membrane specimens, the organisms were isol
ated in both horses. In both horses, the joint infections resolved aft
er IV administration of amphotericin B and joint drainage; however, 1
horse was eventually euthanatized because of signs of cervical pain an
d progressively worsening ataxia. Fungal organisms isolated on microbi
al culturing of joint specimens in horses, although uncommon, should n
ot be dismissed as contaminants, particularly if the same organism is
recovered from more than 1 specimen. Successful resolution of fungal a
rthritis may be achieved with appropriate antifungal treatment, combin
ed with joint drainage.