Case report: Eumycetoma and mycotic arthritis of the knee caused by Arthrographis kalrae

被引:2
|
作者
Ong, David Chen-Guan [1 ,3 ]
Khan, Riaz [1 ,2 ,3 ]
Golledge, Clay [1 ,3 ]
Smith, Richard Carey [1 ,2 ,3 ]
机构
[1] Hollywood Private Hosp, Dept Orthopaed Surg, Perth, WA 6009, Australia
[2] Univ Western Australia, Dept Surg, Perth, WA 6009, Australia
[3] Sir Charles Gairdner Hosp, Dept Orthopaed Surg, Perth, WA 6009, Australia
关键词
Mycetoma; Infection; Total knee replacement;
D O I
10.1016/j.jor.2013.12.004
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A 33-year-old male presents following a penetrating injury to his right knee. Clinically he demonstrated pain, an effusion and fevers. At diagnostic arthroscopy, no microbiological growth was cultured. Delayed growth yielded the fungus Arthrographis kalrae. He was treated with a three-stage total knee arthroplasty. The first stage consisted of soft tissue debridement. The second stage involved femoral and tibial osteotomies and insertion of antifungal-impregnated cement spacers. Definitive total knee joint prosthesis were implanted during stage three. At 2 years follow up, he demonstrated a pain free range of motion and has returned to competitive tennis. To the authors' knowledge this is the first report implicating A. kalrae as an invasive pathogen of the knee in an immunocompetent host. Copyright (C) 2013, Professor P K Surendran Memorial Education Foundation. Publishing Services by Reed Elsevier India Pvt. Ltd. All rights reserved.
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页码:S140 / S144
页数:5
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