title: Successful salvage of a primary total knee arthroplasty infected with Candida parapsilosis.
abstract: Fungal infections of total joint arthroplasties are extremely rare with only 21 previous reported cases in the literature. In 19 of these cases, the offending organism has been a member of the candida species. In all of these cases, the patients had no clinical evidence of disseminated fungal infection. All previously reported cases of total joint fungal infections required removal of the primary prosthesis to eradicate the infection. There has also been a great reluctance to reimplant these patients. In fact, reimplantation has been successful in only one reported case. We report the first case of successful salvage of an arthroplasty infected with candida.
authors.affiliation: Department of Orthopaedic Surgery, University of Rochester School of Medicine, New York 14642, USA.
authors.forename: D H
authors.initials: DH
authors.lastname: Brooks
authors.forename: F
authors.initials: F
authors.lastname: Pupparo
mesh_terms: D000038:Abscess / Q000601:surgery; D000666:Amphotericin B / Q000008:administration & dosage; D000935:Antifungal Agents / Q000008:administration & dosage; D001170:Arthritis, Infectious / Q000601:surgery*; D002177:Candidiasis / Q000601:surgery*; D003131:Combined Modality Therapy; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000601:surgery*; D012086:Reoperation; D013530:Surgical Wound Infection / Q000601:surgery*; D000074402:Synovectomy; D013585:Synovitis / Q000601:surgery
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B