Case report: Eumycetoma and mycotic arthritis of the knee caused by Arthrographis kalrae.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 26719609.
- Also identified by DOI 10.1016/j.jor.2013.12.004 and PMC identifier 4674515.
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Abstract
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.
Anatomy
- knee