Periprosthetic fungal infection of a hip caused by Trichosporon inkin

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Presentation transcript:

Periprosthetic fungal infection of a hip caused by Trichosporon inkin Federico José Burgo, MD, Diego Edmundo Mengelle, MD, Agustín Abraham, MD, Guillermina Kremer, MD, Carlos María Autorino, MD Arthroplasty Today Volume 4, Issue 1, Pages 24-26 (March 2018) DOI: 10.1016/j.artd.2017.05.005 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Preoperative anteroposterior (AP) radiograph of the right hip before revision surgery. As a result of several failed revisions attributed to a presumptive diagnosis of periprosthetic infection, the hip displayed a severe bone defect, osteolysis, and foreign materials including the distal part of a modular osteointegrated stem. Arthroplasty Today 2018 4, 24-26DOI: (10.1016/j.artd.2017.05.005) Copyright © 2017 The Authors Terms and Conditions

Figure 2 (a) Grocott 400×. Highlights of yeasts with the Grocott technique (the yeast are in black). (b) Past 400×. Polymorphonuclear leukocytes, histoid cells, necrosis, and fungi. Arthroplasty Today 2018 4, 24-26DOI: (10.1016/j.artd.2017.05.005) Copyright © 2017 The Authors Terms and Conditions

Figure 3 (a) Optical microscopy showed the presence of abundant crystals of cholesterol, some iron particles, and yeast. (b) Optical microscopy with polarized light. Arthroplasty Today 2018 4, 24-26DOI: (10.1016/j.artd.2017.05.005) Copyright © 2017 The Authors Terms and Conditions

Figure 4 Postoperative AP radiograph of functional spacer after 2 years of follow-up. Arthroplasty Today 2018 4, 24-26DOI: (10.1016/j.artd.2017.05.005) Copyright © 2017 The Authors Terms and Conditions