[Aspergillar prosthetic hip infection with false aneurysm of the common femoral artery and cup migration into the pelvis].
We report a case of Aspergillus fumigatus infection of a total hip arthroplasty. This rare infection was demonstrated at surgical revision of a loosened prosthesis with migration of the cup into the pelvis associated with a false aneurysm of the femoral artery. A vascular time was required before the orthopedic revision. This case illustrates the importance of the preoperative work-up in the event of cup migration. The double approach was required in our patient to control and repair the vascular structures. The difficult treatment of Aspergillus fumigatus is also discussed.
Guyard
M
M
Service de Chirurgie Orthopédique, Pavillon T, Hôpital Edouard-Herriot, 5 place d'Arsonval, 69437 Lyon Cedex 03.
Vaz
G
G
Aleksic
I
I
Guyen
O
O
Carret
J-P
JP
Béjui-Hugues
J
J
D000368:Aged; D017541:Aneurysm, False / Q000209:etiology*; D001228:Aspergillosis / Q000209:etiology*; D001232:Aspergillus fumigatus; D005263:Femoral Artery; D005548:Foreign-Body Migration / Q000209:etiology*; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010388:Pelvis; D016459:Prosthesis-Related Infections / Q000209:etiology*