Aspergillus infection after total knee arthroplasty |
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Authors: | Langer Philip Kassim Rida A Macari George S Saleh Khaled J |
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Affiliation: | Department of Orthopaedics, Clinical Outcome Research Center, Health Services Research and Policy School of Public Health, University of Minnesota, Minneapolis, USA. |
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Abstract: | The literature includes little information about the treatment protocol for Aspergillus infection after total knee arthroplasty. In this article, we describe the case of a nonimmunocompromised patient who lacked predisposing risk factors and who initially presented with aseptic loosening of a total knee prosthesis that postoperatively had grown Aspergillus niger. Intraoperative culture and frozen-section results for the pseudocapsule were negative. Two days postoperatively, culture results showed heavy growth of A niger. The patient was treated with a 6-week course of amphotericin B followed by oral antifungal therapy. She was doing well and had no symptoms 12 months after surgery. |
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