Aspergillus fumigatus infection as a delayed manifestation of prosthetic knee arthroplasty and a review of the literature
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CitationYılmaz, M., Mete, B., Özaras, R., Kaynak, G., Tabak, F., Tenekecioğlu, Y. ve Öztürk, R. (2011). Aspergillus fumigatus infection as a delayed manifestation of prosthetic knee arthroplasty and a review of the literature. Scandinavian Journal of Infectious Diseases, 43(8), 573-578. https://dx.doi.org/10.3109/00365548.2011.574294
Fungal infection after total joint arthroplasty is a very rare but serious complication and a challenge to the treating and consulting physicians. The literature includes little information about the treatment protocol for Aspergillus infection after total knee arthroplasty, since only 3 cases have been reported. We describe the case of a non-immunocompromised patient who lacked predisposing risk factors and presented with pain and swelling. An aspiration under sterile conditions revealed Aspergillus fumigatus. The patient was treated successfully with a 2-stage exchange reimplantation and 6-week course of liposomal amphotericin B. At 4 y after reimplantation, the patient had no evidence of infection or pain.