Culture-proven Aspergillus fumigatus infection in a primary hydroxyapatite orbital implant.
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.
Sharma
Neil S
NS
Ooi
Ju-Lee
JL
Maloof
Tiba C
TC
Wilcsek
Geoffrey
G
Francis
Ian C
IC
Coroneo
Minas T
MT
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
D017886:Durapatite