Successful total knee arthroplasty in the presence of sporotrichal arthritis.
Articular sporotrichosis, a chronic granulomatous fungal infection, is a rare entity but when present may lead to significant joint destruction. Severe knee arthrosis due to sporotrichal arthritis has traditionally been treated with arthrodesis. Total knee arthroplasty in the presence of sporotrichal arthritis has been treated with long-term suppressive antifungal agents or 1-stage exchange total knee arthroplasty. We present a case in which primary total knee arthroplasty in the presence of sporotrichal arthritis resulted in good functional outcome at 2.5 years of follow-up.
Department of Orthopaedic Surgery, UMC St Radboud, PO Box 9101, 6500 HB Nijmegen, The Netherlands. S.Koeter@orthop.umcn.nl
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Koëter
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RW
Jackson
D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000188:drug therapy* / Q000382:microbiology / Q000601:surgery*; D019645:Arthroplasty, Replacement, Knee; D003131:Combined Modality Therapy; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D007719:Knee Joint / Q000382:microbiology / Q000601:surgery; D008297:Male; D013175:Sporothrix / Q000302:isolation & purification; D013174:Sporotrichosis / Q000188:drug therapy* / Q000601:surgery*; D016896:Treatment Outcome
D000935:Antifungal Agents; D017964:Itraconazole