title: Refractory Arthrographis kalrae native knee joint infection.
abstract: Rare reports of infection with Arthrographis kalrae have often demonstrated a protracted clinical course. We describe refractory infection of the native knee with Arthrographis kalrae after a penetrating injury and Yttrium synovectomy, finally controlled with two stage joint revision and combination antifungal therapy. The paucity of worldwide data about such uncommon invasive fungal infections contributes to the diagnostic and therapeutic challenges of these cases.
authors.affiliation: Department of Microbiology and Infectious Diseases, PathWest Laboratory Medicine, QEII medical centre, Hospital Avenue, Nedlands, Perth 6009, Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Boan
authors.affiliation: Department of Microbiology and Infectious Diseases, PathWest Laboratory Medicine, QEII medical centre, Hospital Avenue, Nedlands, Perth 6009, Australia.
authors.forename: Ian
authors.initials: I
authors.lastname: Arthur
authors.affiliation: Department of Microbiology and Infectious Diseases, PathWest Laboratory Medicine, QEII medical centre, Hospital Avenue, Nedlands, Perth 6009, Australia.
authors.forename: Clay
authors.initials: C
authors.lastname: Golledge
authors.affiliation: Mycology Unit, SA Pathology at the Women's and Children's Hospital, Adelaide 5005, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Ellis
keywords: Arthrographis; Arthrographis kalrae