TY - JOUR
T1 - Case report: Eumycetoma and mycotic arthritis of the knee caused by Arthrographis kalrae
AU - Ong, D.C.G.
AU - Khan, Riaz
AU - Golledge, C.
AU - Carey Smith, Richard
PY - 2015
Y1 - 2015
N2 - © 2013. A 33-year-old male presents following a penetrating injury to his right knee. Clinically he demonstrated pain, an effusion and fevers. At diagnostic arthroscopy, no microbiological growth was cultured. Delayed growth yielded the fungus Arthrographis kalrae. He was treated with a three-stage total knee arthroplasty. The first stage consisted of soft tissue debridement. The second stage involved femoral and tibial osteotomies and insertion of antifungal-impregnated cement spacers. Definitive total knee joint prosthesis were implanted during stage three. At 2 years follow up, he demonstrated a pain free range of motion and has returned to competitive tennis. To the authors' knowledge this is the first report implicating A. kalrae as an invasive pathogen of the knee in an immunocompetent host.
AB - © 2013. A 33-year-old male presents following a penetrating injury to his right knee. Clinically he demonstrated pain, an effusion and fevers. At diagnostic arthroscopy, no microbiological growth was cultured. Delayed growth yielded the fungus Arthrographis kalrae. He was treated with a three-stage total knee arthroplasty. The first stage consisted of soft tissue debridement. The second stage involved femoral and tibial osteotomies and insertion of antifungal-impregnated cement spacers. Definitive total knee joint prosthesis were implanted during stage three. At 2 years follow up, he demonstrated a pain free range of motion and has returned to competitive tennis. To the authors' knowledge this is the first report implicating A. kalrae as an invasive pathogen of the knee in an immunocompetent host.
U2 - 10.1016/j.jor.2013.12.004
DO - 10.1016/j.jor.2013.12.004
M3 - Review article
C2 - 26719609
SN - 0972-978X
VL - 12
SP - S140-S144
JO - Journal of Orthopaedics
JF - Journal of Orthopaedics
IS - Suppl 1
ER -