Fungal Periprosthetic Infection after Total Knee Arthroplasty (Case Report and Review)

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Abstract

The rate of periprosthetic infection (PJI) following primary total knee arthroplasty ranges from 0,5 to 6%, while after the revision arthroplasty PJI rate grows up to 13,6%. Despite the fact that PJI is more often caused by gram-positive microorganisms, the treatment of patients induced by gram-negative pathogens and fungi is the most complex and associated with the higher recurrence rate. This paper presents a positive two-stage treatment of a patient with fungal periprosthetic infection with a review of current medical literature. Revision, sanation of infection site and implantation of articulating antibacterial spacer was performed in the first stage of treatment. The second stage, which was the implantation of a revision prosthesis, followed in 6 months after removal of infection nidus. Subsequently the authors obtained good functional outcomes and stopping the infection process.

About the authors

S. A. Bozhkova

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: fake@neicon.ru
Svetlana A. Bozhkova — Dr. Sci. (Med.), Head of the Research Department of Prevention and Treatment of Wound Infection and Department of Clinical Pharmacology Russian Federation

P. P. Ivanov

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: fake@neicon.ru
Pavel P. Ivanov — Orthopedic Surgeon Russian Federation

E. A. Zemlyanskaya

Vreden Russian Research Institute of Traumatology and Orthopedics

Author for correspondence.
Email: zemlliza@yandex.ru
Elizaveta A. Zemlyanskaya — Orthopedic Surgeon Russian Federation

N. N. Kornilov

Vreden Russian Research Institute of Traumatology and Orthopedics;
Mechnikov North-Western State Medical University

Email: fake@neicon.ru

Nikolai N. Kornilov — Dr. Sci. (Med.), Professor, Chair of Traumatology and Orthopedics; Head of Trauma and Orthopedic Department

Professor, Chair of Traumatology and Orthopedics

Russian Federation

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