Prosthetic joint infection caused by<i>Candida lusitaniae</i>: report of a unique case

Viotti, Julia Bini; Corzo-Pedroza, Monica; Zamora, Jose Armando Gonzales

doi:10.1080/17843286.2018.1511264

Cited by 6 publications

(2 citation statements)

References 28 publications

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“…Following a thorough electronic literature search of the PubMed and MEDLINE databases, only four other cases of PJIs due to C. lusitaniae in revision knee arthroplasties were identified [ 22 , 23 , 24 , 25 ]. Table 1 highlights the main features of these cases.…”

Section: Discussionmentioning

confidence: 99%

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Prosthetic Knee Joint Infection Due to Candida lusitaniae: A Diagnostic and Therapeutic Odyssey: A Case Study

et al. 2022

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Prosthetic joint infections (PJIs) caused by fungi, although relatively rare, represent a major surgery-related complication. An extremely rare fungal PJI, following revised total knee replacement (TKR) caused by Candida lusitaniae, is reported, and a meticulous review of similar cases is provided. A 74-year-old female, who underwent primary total knee arthroplasty 10 years ago and a revision surgery three weeks ago, presented with signs and symptoms of PJI. C. lusitaniae was eventually isolated from the periprosthetic tissue using the MALDI-TOF VitekMS–bioMérieux technique. Multiple strategies for managing this fungal PJI were performed, and finally, the patient was treated successfully with an intramedullary arthrodesis system and proper antifungal treatment, including fluconazole. A multidisciplinary approach is essential for the diagnosis and treatment of such severe infections. In persistent cases and in cases where revision surgery is extremely difficult to perform, arthrodesis seems to be an effective solution for the elimination of the infection. The efficacy of the therapeutic management of fungal PJIs remains unclear. Therefore, more research should be reported, focusing on proper treatment so that the optimal strategy in treating these severe infections may be established.

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Section: Discussionmentioning

confidence: 99%

“…Regarding surgical treatment of PJI due to C. lusitanae , Klatte et al reported one case treated with OSRA, which could be considered a safe procedure, while Hwang et al and Viotti et al have successfully managed two cases with TSRA [ 23 , 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%