Skip to main content

Advertisement

SpringerLink
Log in

Fungal prosthetic joint infection after total knee arthroplasty

  • Case Report
  • Published:
Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Fungal prosthetic joint infection after total knee arthroplasty (TKA) is a rare complication. Lacunae exist in the management of this complication. 62 year old lady presented with pain and swelling in left knee and was diagnosed as Candida tropicalis fungal infection after TKA. She underwent debridement, resection arthroplasty and antifungal plus antibiotic loaded cement spacer insertion, antifungal therapy with fluconazole followed by delayed revision TKA and further fluconazole therapy. Total duration of fluconazole therapy was 30 weeks. At 2 year followup, she has pain less range of motion of 10°–90° and there is no evidence of recurrence of infection.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Hwang BH, Yoon JY, Nam CH, Jung KA, Lee SC, Han CD, et al. Fungal peri-prosthetic joint infection after primary total knee replacement. J Bone Joint Surg Br 2012;94:656–9.

    Article  CAS  Google Scholar 

  2. Azzam K, Parvizi J, Jungkind D, Hanssen A, Fehring T, Springer B, et al. Microbiological, clinical, and surgical features of fungal prosthetic joint infections: A multi-institutional experience. J Bone Joint Surg Am 2009;91 Suppl 6:142–9.

    Article  Google Scholar 

  3. Phelan DM, Osmon DR, Keating MR, Hanssen AD. Delayed reimplantation arthroplasty for candidal prosthetic joint infection: A report of 4 cases and review of the literature. Clin Infect Dis 2002;34:930–8.

    Article  Google Scholar 

  4. Brooks DH, Pupparo F. Successful salvage of a primary total knee arthroplasty infected with Candida parapsilosis. J Arthroplasty 1998;13:707–12.

    Article  CAS  Google Scholar 

  5. Hennessy MJ. Infection of a total knee arthroplasty by Candida parapsilosis. A case report of successful treatment by joint reimplantation with a literature review. Am J Knee Surg 1996;9:133–6.

    CAS  PubMed  Google Scholar 

  6. Wada M, Baba H, Imura S. Prosthetic knee Candida parapsilosis infection. J Arthroplasty 1998;13:479–82.

    Article  CAS  Google Scholar 

  7. Fukasawa N, Shirakura K. Candida arthritis after total knee arthroplasty-A case of successful treatment without prosthesis removal. Acta Orthop Scand 1997;68:306–7.

    Article  CAS  Google Scholar 

  8. Simonian PT, Brause BD, Wickiewicz TL. Candida infection after total knee arthroplasty. Management without resection or amphotericin B. J Arthroplasty 1997;12:825–9.

    Article  CAS  Google Scholar 

  9. Yang SH, Pao JL, Hang YS. Staged reimplantation of total knee arthroplasty after Candida infection. J Arthroplasty 2001;16:529–32.

    Article  CAS  Google Scholar 

  10. Wu MH, Hsu KY. Candidal arthritis in revision knee arthroplasty successfully treated with sequential parenteral-oral fluconazole and amphotericin B-loaded cement spacer. Knee Surg Sports Traumatol Arthrosc 2011;19:273–6.

    Article  Google Scholar 

  11. Kuhn DM, Chandra J, Mukherjee PK, Ghannoum MA. Comparison of biofilms formed by Candida albicans and Candida parapsilosis on bioprosthetic surfaces. Infect Immun 2002;70:878–88.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopedics and Trauma, Apollo Hospital, Jubilee Hills, Room No. 960, International Block, Hyderabad, 500 033, Andhra Pradesh, India

    Kankanala J. Reddy, Jay D. Shah, Rohit V. Kale & T. Jayakrishna Reddy

Authors
  1. Kankanala J. Reddy
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jay D. Shah
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Rohit V. Kale
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Jayakrishna Reddy
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kankanala J. Reddy.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reddy, K.J., Shah, J.D., Kale, R.V. et al. Fungal prosthetic joint infection after total knee arthroplasty. IJOO 47, 526–529 (2013). https://doi.org/10.4103/0019-5413.118213

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/0019-5413.118213

Key words

Search

Navigation