PMID: 25798156Mar 24, 2015Paper

Trichosporon asahii infection after total knee arthroplasty: A case report and review of the literature

The Canadian Journal of Infectious Diseases & Medical Microbiology = Journal Canadien Des Maladies Infectieuses Et De La Microbiologie Médicale
Qiang ZuoHua Zhang

Abstract

Reports of fungal infection after total knee arthroplasty are extremely rare. In most reports, the infecting organism is a Candida species. The present report describes a case involving a 73-year-old immunocompetent woman who underwent total knee arthroplasty and presented one month later with signs of prosthetic infection. She underwent joint debridement and the fluid was sent for culture and sensitivity testing. The culture showed growth of Trichosporon asahii. The patient was administered intravenous and intra-articular injections of amphotericin B, followed by antifungal treatment with voriconazole for one year. At 26 months of follow-up, there was no evidence of infection and the patient was ambulating with a walker. To the authors' knowledge, the present case is the first report of T asahii infection following knee replacement. Early detection, prompt institution of the appropriate antibiotics and regular follow-up are recommended.

Citations

Nov 2, 2016·Frontiers in Microbiology·João N de Almeida Júnior, Christophe Hennequin
Apr 17, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Marta KiciaAndrzej Pozowski
Dec 7, 2018·The Journal of the American Academy of Orthopaedic Surgeons·James NaceAntonia F Chen
Oct 22, 2016·Ophthalmic Plastic and Reconstructive Surgery·Kristin E HirabayashiM Reza Vagefi
May 16, 2017·Current Opinion in Ophthalmology·Evan Kalin-HajduRobert C Kersten
Aug 28, 2021·Diagnostics·Christos KoutserimpasGeorge Samonis

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