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Delayed Reimplantation Arthroplasty for Candidal Prosthetic Joint Infection: A Report of 4 Cases and Review of the Literature
Fungal prosthetic joint infection (PJI) is rare, with Candida species being the most frequently reported pathogen in the medical literature. The risk of relapse following delayed reimplantation arthroplasty for candidal PJI is unknown. We describe 4 new cases and summarize 6 previously reported case...
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| Published in: | Clinical infectious diseases 2002-04, Vol.34 (7), p.930-938 |
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| container_end_page | 938 |
| container_issue | 7 |
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| container_title | Clinical infectious diseases |
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| creator | PHELAN, David M OSMON, Douglas R KEATING, Michael R HANSSEN, Arlen D |
| description | Fungal prosthetic joint infection (PJI) is rare, with Candida species being the most frequently reported pathogen in the medical literature. The risk of relapse following delayed reimplantation arthroplasty for candidal PJI is unknown. We describe 4 new cases and summarize 6 previously reported cases of candidal PJI treated with delayed reimplantation arthroplasty. Ninety percent of the patients received antifungal therapy. Eight patients received amphotericin B either alone or in combination with other antifungals. One patient received fluconazole alone. The median duration of time from resection arthroplasty to reimplantation for total hip and total knee arthroplasties was 8.6 and 2.3 months, respectively. Eight patients did not have relapse of candidal PJI following delayed reimplantation arthroplasty after a median duration of follow-up of 50.7 months (range, 2-73 months). Candidal PJI can be successfully treated with delayed reimplantation arthroplasty after receipt appropriate antifungal therapy. |
| doi_str_mv | 10.1086/339212 |
| format | article |
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The risk of relapse following delayed reimplantation arthroplasty for candidal PJI is unknown. We describe 4 new cases and summarize 6 previously reported cases of candidal PJI treated with delayed reimplantation arthroplasty. Ninety percent of the patients received antifungal therapy. Eight patients received amphotericin B either alone or in combination with other antifungals. One patient received fluconazole alone. The median duration of time from resection arthroplasty to reimplantation for total hip and total knee arthroplasties was 8.6 and 2.3 months, respectively. Eight patients did not have relapse of candidal PJI following delayed reimplantation arthroplasty after a median duration of follow-up of 50.7 months (range, 2-73 months). Candidal PJI can be successfully treated with delayed reimplantation arthroplasty after receipt appropriate antifungal therapy.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1086/339212</identifier><identifier>PMID: 11880958</identifier><identifier>CODEN: CIDIEL</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Antifungals ; Arthroplasty ; Arthroplasty - adverse effects ; Biological and medical sciences ; Candidiasis - epidemiology ; Candidiasis - etiology ; Candidiasis - microbiology ; Candidiasis - therapy ; Cements ; Female ; Human mycoses ; Humans ; Infections ; Infectious diseases ; Joint Diseases - epidemiology ; Joint Diseases - etiology ; Joint Diseases - microbiology ; Joint Diseases - therapy ; Joint prostheses ; Knee replacement arthroplasty ; Knees ; Major Articles ; Male ; Medical sciences ; Middle Aged ; Mycoses ; Mycoses of the osteoarticular system ; Predisposing factors ; Prosthesis-Related Infections - epidemiology ; Prosthesis-Related Infections - etiology ; Prosthesis-Related Infections - microbiology ; Prosthesis-Related Infections - therapy ; Prosthetics ; Replantation ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Clinical infectious diseases, 2002-04, Vol.34 (7), p.930-938</ispartof><rights>Copyright 2002 The Infectious Diseases Society of America</rights><rights>2002 by the Infectious Diseases Society of America 2002</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-ec6f97bba0a24a8f3724abeb12444b969ad9de68d08b572dd443dd2e6e37fd13</citedby><cites>FETCH-LOGICAL-c453t-ec6f97bba0a24a8f3724abeb12444b969ad9de68d08b572dd443dd2e6e37fd13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/4482998$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/4482998$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,58238,58471</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13570300$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11880958$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>PHELAN, David M</creatorcontrib><creatorcontrib>OSMON, Douglas R</creatorcontrib><creatorcontrib>KEATING, Michael R</creatorcontrib><creatorcontrib>HANSSEN, Arlen D</creatorcontrib><title>Delayed Reimplantation Arthroplasty for Candidal Prosthetic Joint Infection: A Report of 4 Cases and Review of the Literature</title><title>Clinical infectious diseases</title><addtitle>Clinical Infectious Diseases</addtitle><addtitle>Clinical Infectious Diseases</addtitle><description>Fungal prosthetic joint infection (PJI) is rare, with Candida species being the most frequently reported pathogen in the medical literature. The risk of relapse following delayed reimplantation arthroplasty for candidal PJI is unknown. We describe 4 new cases and summarize 6 previously reported cases of candidal PJI treated with delayed reimplantation arthroplasty. Ninety percent of the patients received antifungal therapy. Eight patients received amphotericin B either alone or in combination with other antifungals. One patient received fluconazole alone. The median duration of time from resection arthroplasty to reimplantation for total hip and total knee arthroplasties was 8.6 and 2.3 months, respectively. Eight patients did not have relapse of candidal PJI following delayed reimplantation arthroplasty after a median duration of follow-up of 50.7 months (range, 2-73 months). Candidal PJI can be successfully treated with delayed reimplantation arthroplasty after receipt appropriate antifungal therapy.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antifungals</subject><subject>Arthroplasty</subject><subject>Arthroplasty - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Candidiasis - epidemiology</subject><subject>Candidiasis - etiology</subject><subject>Candidiasis - microbiology</subject><subject>Candidiasis - therapy</subject><subject>Cements</subject><subject>Female</subject><subject>Human mycoses</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Joint Diseases - epidemiology</subject><subject>Joint Diseases - etiology</subject><subject>Joint Diseases - microbiology</subject><subject>Joint Diseases - therapy</subject><subject>Joint prostheses</subject><subject>Knee replacement arthroplasty</subject><subject>Knees</subject><subject>Major Articles</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mycoses</subject><subject>Mycoses of the osteoarticular system</subject><subject>Predisposing factors</subject><subject>Prosthesis-Related Infections - epidemiology</subject><subject>Prosthesis-Related Infections - etiology</subject><subject>Prosthesis-Related Infections - microbiology</subject><subject>Prosthesis-Related Infections - therapy</subject><subject>Prosthetics</subject><subject>Replantation</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><recordid>eNqFkU9v1DAQxSMEoqXAJ0DIHOgt1I4d_-G2LIW2WgSq9oC4WE48UV2ycbCdlj3w3fEqq-4JcRpr5vfe03iK4iXB7wiW_IxSVZHqUXFMaipKXivyOL9xLUsmqTwqnsV4izEhEtdPi6NcJVa1PC7-fITebMGia3CbsTdDMsn5AS1Cugk-N2Laos4HtDSDddb06FvwMd1Aci268m5I6HLooN2J3qNFthl9SMh3iGVJhIiyLnfvHNzvulmJVi5BMGkK8Lx40pk-wot9PSnWn87Xy4ty9fXz5XKxKltW01RCyzslmsZgUzEjOypyaaAhFWOsUVwZqyxwabFsalFZyxi1tgIOVHSW0JPidLYdg_81QUx642ILfV4X_BS1IExxxtl_QSIZF6oSB7DNvxEDdHoMbmPCVhOsdwfR80Ey-HrvODUbsAdsf4EMvN0DJram74IZWhcPHK0Fphhn7s3M-Wn8d9irmbmNyYcHijFZKbWLKuexiwl-P4xN-Km5oKLWF99_6C857sP1WukV_QsP_7Vx</recordid><startdate>20020401</startdate><enddate>20020401</enddate><creator>PHELAN, David M</creator><creator>OSMON, Douglas R</creator><creator>KEATING, Michael R</creator><creator>HANSSEN, Arlen D</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>20020401</creationdate><title>Delayed Reimplantation Arthroplasty for Candidal Prosthetic Joint Infection: A Report of 4 Cases and Review of the Literature</title><author>PHELAN, David M ; OSMON, Douglas R ; KEATING, Michael R ; HANSSEN, Arlen D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-ec6f97bba0a24a8f3724abeb12444b969ad9de68d08b572dd443dd2e6e37fd13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antifungals</topic><topic>Arthroplasty</topic><topic>Arthroplasty - adverse effects</topic><topic>Biological and medical sciences</topic><topic>Candidiasis - epidemiology</topic><topic>Candidiasis - etiology</topic><topic>Candidiasis - microbiology</topic><topic>Candidiasis - therapy</topic><topic>Cements</topic><topic>Female</topic><topic>Human mycoses</topic><topic>Humans</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Joint Diseases - epidemiology</topic><topic>Joint Diseases - etiology</topic><topic>Joint Diseases - microbiology</topic><topic>Joint Diseases - therapy</topic><topic>Joint prostheses</topic><topic>Knee replacement arthroplasty</topic><topic>Knees</topic><topic>Major Articles</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mycoses</topic><topic>Mycoses of the osteoarticular system</topic><topic>Predisposing factors</topic><topic>Prosthesis-Related Infections - epidemiology</topic><topic>Prosthesis-Related Infections - etiology</topic><topic>Prosthesis-Related Infections - microbiology</topic><topic>Prosthesis-Related Infections - therapy</topic><topic>Prosthetics</topic><topic>Replantation</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>PHELAN, David M</creatorcontrib><creatorcontrib>OSMON, Douglas R</creatorcontrib><creatorcontrib>KEATING, Michael R</creatorcontrib><creatorcontrib>HANSSEN, Arlen D</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>PHELAN, David M</au><au>OSMON, Douglas R</au><au>KEATING, Michael R</au><au>HANSSEN, Arlen D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delayed Reimplantation Arthroplasty for Candidal Prosthetic Joint Infection: A Report of 4 Cases and Review of the Literature</atitle><jtitle>Clinical infectious diseases</jtitle><stitle>Clinical Infectious Diseases</stitle><addtitle>Clinical Infectious Diseases</addtitle><date>2002-04-01</date><risdate>2002</risdate><volume>34</volume><issue>7</issue><spage>930</spage><epage>938</epage><pages>930-938</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>Fungal prosthetic joint infection (PJI) is rare, with Candida species being the most frequently reported pathogen in the medical literature. The risk of relapse following delayed reimplantation arthroplasty for candidal PJI is unknown. We describe 4 new cases and summarize 6 previously reported cases of candidal PJI treated with delayed reimplantation arthroplasty. Ninety percent of the patients received antifungal therapy. Eight patients received amphotericin B either alone or in combination with other antifungals. One patient received fluconazole alone. The median duration of time from resection arthroplasty to reimplantation for total hip and total knee arthroplasties was 8.6 and 2.3 months, respectively. Eight patients did not have relapse of candidal PJI following delayed reimplantation arthroplasty after a median duration of follow-up of 50.7 months (range, 2-73 months). Candidal PJI can be successfully treated with delayed reimplantation arthroplasty after receipt appropriate antifungal therapy.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>11880958</pmid><doi>10.1086/339212</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical infectious diseases, 2002-04, Vol.34 (7), p.930-938 |
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| source | JSTOR Archival Journals and Primary Sources Collection; Oxford Journals Online |
| subjects | Adult Aged Aged, 80 and over Antifungals Arthroplasty Arthroplasty - adverse effects Biological and medical sciences Candidiasis - epidemiology Candidiasis - etiology Candidiasis - microbiology Candidiasis - therapy Cements Female Human mycoses Humans Infections Infectious diseases Joint Diseases - epidemiology Joint Diseases - etiology Joint Diseases - microbiology Joint Diseases - therapy Joint prostheses Knee replacement arthroplasty Knees Major Articles Male Medical sciences Middle Aged Mycoses Mycoses of the osteoarticular system Predisposing factors Prosthesis-Related Infections - epidemiology Prosthesis-Related Infections - etiology Prosthesis-Related Infections - microbiology Prosthesis-Related Infections - therapy Prosthetics Replantation Retrospective Studies Treatment Outcome |
| title | Delayed Reimplantation Arthroplasty for Candidal Prosthetic Joint Infection: A Report of 4 Cases and Review of the Literature |
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