POLYARTICULAR BLASTOMYCOTIC ARTHRITIS

Blastomycotic arthritis usually presents as acute monoarticular septic arthritis resembling a bacterial process. Only 2 cases in the literat ure have subsequently developed arthritis in a second joint. We descri be the case of an elderly woman with polyarticular blastomycotic arthr itis associated with lung, skin, and bone involvement. The organism wa s identified in the synovial fluid and skin biopsies. Our patient unde rwent open drainage and aspiration of the involved joints and received antimycotic therapy.