title: Rhodotorula mucilaginosa as a cause of persistent femoral nonunion.
abstract: We present a case of postoperative infection which presented as nonunion fracture femur in a 30-year-old man due to Rhodotorula mucilaginosa. This is the first report of Rhodotorula infection in a patient with fracture nonunion. The patient underwent repeated surgical debridement and received intensive antibiotic therapy before the diagnosis was made. The diagnosis could have been made earlier if the fungal etiology had been suspected earlier. Early suspicion and diagnosis of infection with atypical yeasts could be under-reported because of difficulties in accurate diagnosis and a tendency of attributing isolates to specimen contamination.
authors.affiliation: Department of Microbiology, University College of Medical Sciences and GTB Hospital, Delhi-110 095, India. renugoyal_123@yahoo.co.in
authors.forename: R
authors.initials: R
authors.lastname: Goyal
authors.forename: S
authors.initials: S
authors.lastname: Das
authors.forename: A
authors.initials: A
authors.lastname: Arora
authors.forename: A
authors.initials: A
authors.lastname: Aggarwal
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D003646:Debridement / Q000009:adverse effects; D003937:Diagnosis, Differential; D005264:Femoral Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D005593:Fracture Fixation, Internal; D005599:Fractures, Ununited / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D009181:Mycoses / Q000188:drug therapy; D012248:Rhodotorula / Q000302:isolation & purification*; D013530:Surgical Wound Infection / Q000150:complications / Q000188:drug therapy* / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents