Candidal prosthetic hip infection in a patient with previous candidal septic arthritis

J Arthroplasty. 2004 Feb;19(2):248-52. doi: 10.1016/s0883-5403(03)00407-8.

Abstract

We describe the case of a patient with chronic monocytic leukemia who underwent total hip arthroplasty (THA) for hip arthrosis. The patient has a history of Candida albicans arthritis of the same joint 5 months before THA surgery. Seven months after the prosthetic joint surgery, the patient developed a C albicans prosthetic infection that was successfully treated with amphotericin B and prosthesis removal. At surgery, the patient was believed cured of the candidal infection. Risk of infection after prosthetic joint surgery in patients with previous fungal joint infections has not been fully investigated. A lengthy infection-free follow-up period is probably necessary but may not be sufficient to prevent the occurrence of postoperative infections in these patients.

Publication types

  • Case Reports

MeSH terms

  • Amphotericin B / therapeutic use
  • Antifungal Agents / therapeutic use
  • Arthritis, Infectious / drug therapy
  • Arthritis, Infectious / microbiology*
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Candidiasis / drug therapy
  • Candidiasis / etiology*
  • Device Removal / methods
  • Hip Joint / surgery
  • Hip Prosthesis*
  • Humans
  • Male
  • Middle Aged
  • Prosthesis-Related Infections / drug therapy
  • Prosthesis-Related Infections / microbiology*
  • Recurrence

Substances

  • Antifungal Agents
  • Amphotericin B