Candida Prosthetic Joint Infection. A Review of Treatment Methods.

June 20, 2017 at 2:24 pm

J Bone Jt Infect. 2017 Feb 5;2(2):114-121.

Cobo F1, Rodríguez-Granger J1, Sampedro A1, Aliaga-Martínez L2, Navarro-Marí JM1.

Author information

1 Department of Microbiology, Hospital Virgen de las Nieves, Granada, Spain.

2 Department of Internal Medicine, Hospital Virgen de las Nieves, Granada, Spain.

Abstract

Fungal microorganisms are still a rare cause of bone and joint infections. We report a new case of knee prosthetic joint infection due to Candida albicans in a patient with a previous two-stage right knee arthroplasty for septic arthritis due to S. epidermidis occurred several months ago. Moreover, the treatment in 76 cases of Candida prosthetic joint infection has been discussed. Forty patients were female and mean age at diagnosis was 65.7 (± SD 18) yrs. No risk factors for candidal infection were found in 25 patients. Infection site was the knee in 38 patients and hip in 36; pain was present in 44 patients and swelling in 24. The most frequent species was C. albicans, followed by C. parapsilosis. Eleven patients were only treated with antifungal drugs being the outcome favourable in all of them. Two-stage exchange arthroplasty was performed in 30 patients, and resection arthroplasty in other 30; in three patients one-stage exchange arthroplasty was done. A favourable outcome was found in 58 patients after antifungal plus surgical treatment, in 11 after antifungal treatment alone and in one after surgery alone. The type of treatment is still not clearly defined and an algorithm for treatment in fungal PJI should be established, but various types of surgical procedures may be applied.

PDF

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5441142/pdf/jbjiv02p0114.pdf

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Entry filed under: Antimicoticos, Infecciones micoticas, Infecciones nosocomiales, Infecciones osteo-articulares-musculares, Infecciones relacionadas a prótesis, Metodos diagnosticos, REVIEWS, Update.

Use of Chlorhexidine Preparations in Total Joint Arthroplasty. Clinical and Microbiological Characteristics of Bacteroides Prosthetic Joint Infections.


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