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CASE REPORT
Year : 2013  |  Volume : 47  |  Issue : 5  |  Page : 526-529

Fungal prosthetic joint infection after total knee arthroplasty


Department of Orthopedics and Trauma, Apollo Hospital, Jubilee Hills, Hyderabad, Andhra Pradesh, India

Correspondence Address:
Kankanala J Reddy
Room No. 960, International Block, Apollo Hospital, Jubilee Hills, Hyderabad 500 033, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.118213

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Fungal prosthetic joint infection after total knee arthroplasty (TKA) is a rare complication. Lacunae exist in the management of this complication. 62 year old lady presented with pain and swelling in left knee and was diagnosed as Candida tropicalis fungal infection after TKA. She underwent debridement, resection arthroplasty and antifungal plus antibiotic loaded cement spacer insertion, antifungal therapy with fluconazole followed by delayed revision TKA and further fluconazole therapy. Total duration of fluconazole therapy was 30 weeks. At 2 year followup, she has pain less range of motion of 10΀-90΀ and there is no evidence of recurrence of infection.


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