Aspergillus fumigatus infection as a delayed manifestation of prosthetic knee arthroplasty and a review of the literature
SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES, cilt.43, sa.8, ss.573-578, 2011 (SCI-Expanded)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 43 Sayı: 8
- Basım Tarihi: 2011
- Doi Numarası: 10.3109/00365548.2011.574294
- Dergi Adı: SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED)
- Sayfa Sayıları: ss.573-578
- Anahtar Kelimeler: Aspergillus fumigatus, prosthetic infection, total knee arthroplasty, amphotericin B
- İstanbul Medipol Üniversitesi Adresli: Evet
Özet
Fungal infection after total joint arthroplasty is a very rare but serious complication and a challenge to the treating and consulting physicians. The literature includes little information about the treatment protocol for Aspergillus infection after total knee arthroplasty, since only 3 cases have been reported. We describe the case of a non-immunocompromised patient who lacked predisposing risk factors and presented with pain and swelling. An aspiration under sterile conditions revealed Aspergillus fumigatus. The patient was treated successfully with a 2-stage exchange reimplantation and 6-week course of liposomal amphotericin B. At 4 y after reimplantation, the patient had no evidence of infection or pain. © 2011 Informa Healthcare.