Candida infection after total knee arthroplasty. Management without resection or amphotericin B.
A rare case of Candida infection after revision total knee arthroplasty that was treated medically, without amphotericin B or resection arthroplasty, is reported. This case occurred in an elderly patient without predisposing medical problems. The patient was treated with only a suppressive dose of ketoconazole. The patient was last evaluated 6 years after the revision surgery and had no problem or signs of infection. Factors contributing to successful medical treatment in this case were likely the routine debridement at revision surgery and the patient's intact immune system.
Simonian
P T
PT
Sports Medicine Service, Hospital for Special Surgery, New York, New York, USA.
Brause
B D
BD
Wickiewicz
T L
TL
D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use*; D019645:Arthroplasty, Replacement, Knee; D002177:Candidiasis / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007654:Ketoconazole / Q000627:therapeutic use*; D007720:Knee Prosthesis / Q000009:adverse effects* / Q000382:microbiology; D016459:Prosthesis-Related Infections / Q000188:drug therapy* / Q000382:microbiology; D012086:Reoperation
D000935:Antifungal Agents; D007654:Ketoconazole