Scedosporium prolificansSeptic Arthritis and Osteomyelitis of the Hip Joints in an Immunocompetent Patient: A Case Report and Literature Review.
Scedosporium prolificans, also known asScedosporium inflatum, is a fungus widespread in soil, sewage, and manure. This species is highly virulent and is an emerging opportunistic pathogen found in penetrating injuries in immunocompromised patients. Here we report on an immunocompetent patient with bilateral hipS. prolificans-associated osteomyelitis and septic arthritis caused by intentional penetrating trauma. The condition was refractory to initial antimicrobial suppression and surgical irrigation and debridement. Successful outcome was achieved after incorporating a bilateral two-stage total-hip-arthroplasty with Voriconazole-loaded cement and spacer.
Department of Orthopaedics, Gold Coast Health Service, Gold Coast University Hospital, 1 Hospital Blvd., Southport, QLD 4215, Australia.
Luca
0000-0003-4398-3791
L
Daniele
Department of Orthopaedics, Gold Coast Health Service, Gold Coast University Hospital, 1 Hospital Blvd., Southport, QLD 4215, Australia.
Michael
0000-0002-4728-6443
M
Le
Department of Orthopaedics, Gold Coast Health Service, Gold Coast University Hospital, 1 Hospital Blvd., Southport, QLD 4215, Australia.
Adam Franklin
AF
Parr
Department of Orthopaedics, Gold Coast Health Service, Gold Coast University Hospital, 1 Hospital Blvd., Southport, QLD 4215, Australia.
Lochlin Mark
LM
Brown