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A case of hip osteoarthrosis contaminated by fungi

A histological study

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Summary

A pathological study of a surgical specimen of hip osteoarthrosis presenting a superficial fungal infection (presumably Aspergillus) without any known origin is reported. Fungal penetration was mild in cartilage and fibrocartilage and more pronounced in naked cancellous bone, but it did not occur in eburnated bone or in the deep osteomedullar area. This observation indicates an unusual combination of infection and osteoarthrosis. Relationships between fungi and bone or cartilage as well as interaction between osteoarthrotic remodeling and a superimposed disease are discussed.

Zusammenfassung

Eine anatomisch-pathologische Beschreibung eines chirurgisch entfernten Hüftgelenkes bei Arthrosis deformans mit oberflächlichem Pilzbefall (vermutlich Aspergillus) bei unbekannter Ursache wird gegeben. Pilze waren im hyalinen und fibrösen Knorpel in geringer Menge vorhanden, in größerer Menge in der nackten Spongiosa. Diese waren im Bereich des eburnierten Knochens und tiefen Markräume jedoch nicht zu finden. Diese Beobachtung weist auf eine ungewöhnliche Kombination von Infektion und Arthrosis deformans hin. Sowohl Zusammenhänge zwischen Pilzen und Knochen oder Knorpel, als auch Interaktion zwischen Vorgängen der Arthrosis deformans and anderer aufgepfropften Erkrankungen werden diskutiert.

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Authors and Affiliations

  1. Department of Pathology (Osteoarticular Unit), University of Geneva Medical School, Geneva, Switzerland

    R. Lagier

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  1. R. Lagier
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Additional information

This study was subsidized in part by the Commission fédérale des maladies rhumatismales (Berne)

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Lagier, R. A case of hip osteoarthrosis contaminated by fungi. Arch Orthop Trauma Surg 109, 113–116 (1990). https://doi.org/10.1007/BF00439391

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  • DOI: https://doi.org/10.1007/BF00439391

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