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CASE REPORT
Year : 2016  |  Volume : 50  |  Issue : 3  |  Page : 327-330

Septic arthritis due to tubercular and Aspergillus co-infection


Department of Orthopedics, Amrita Institute of Medical Science and Research Centre, Kochi, Kerala, India

Correspondence Address:
Mukesh Kumar
Department of Orthopedics, Amrita Institute of Medical Science and Research Centre, Kochi, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.181783

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Aspergillus septic arthritis is a rare and serious medical and surgical problem. It occurs mainly in immunocompromised patients. Aspergillus fumigatus is the most common causative organism followed by Aspergillus flavus. The most common site affected is knee followed by shoulder, ankle, wrist, hip and sacroiliac joint. Debridement and voriconazole are primary treatment of articular aspergilosis. To the best of our knowledge, there are no reported cases of co-infection of tuberculosis (TB) and Aspergillus infecting joints. We report a case of co-infection of TB and A. flavus of hip and knee of a 60-year-old male, with type 2 diabetes mellitus. He was treated with debridement, intravenous voriconazole, and antitubercular drugs.


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