title: Culture-proven Aspergillus fumigatus infection in a primary hydroxyapatite orbital implant.
abstract: Hydroxyapatite orbital implants are widely used in enucleation surgery. Infection in this setting is an uncommon but severe complication. Herein a patient with a 3-year history of chronic socket discharge, orbital discomfort, conjunctival breakdown and implant exposure after enucleation and implantation of a hydroxyapatite sphere 7 years previously is reported. Repeated attempts at covering the exposed implant failed. Eventually the implant was removed, and Aspergillus fumigatus was cultured from the explanted material. This is the second reported case of Aspergillus infection of a hydroxyapatite orbital implant, and the first case where fungal cultures were positive.
authors: Neil S
authors: NS
authors: Sharma
authors: Ju-Lee
authors: JL
authors: Ooi
authors: Tiba C
authors: TC
authors: Maloof
authors: Geoffrey
authors: G
authors: Wilcsek
authors: Ian C
authors: IC
authors: Francis
authors: Minas T
authors: MT
authors: Coroneo
mesh_terms: D001228:Aspergillosis / Q000209:etiology*; D001232:Aspergillus fumigatus / Q000302:isolation & purification*; D017886:Durapatite; D015353:Eye Enucleation; D015821:Eye Infections, Fungal / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D020273:Orbital Implants / Q000009:adverse effects* / Q000382:microbiology; D016459:Prosthesis-Related Infections / Q000209:etiology*; D012086:Reoperation
chemical_list: D017886:Durapatite