Volume 5, Issue 2, Pages (June 2019)

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Volume 5, Issue 2, Pages 135-138 (June 2019) Histoplasma capsulatum periprosthetic knee infection complicated by autoimmune- mediated systemic inflammatory response syndrome Arjun Meiyappan, MD, Jesus M. Villa, MD, Vani J. Sabesan, MD, Preetesh D. Patel, MD, Juan C. Suarez, MD Arthroplasty Today Volume 5, Issue 2, Pages 135-138 (June 2019) DOI: 10.1016/j.artd.2019.02.004 Copyright © 2019 Terms and Conditions

Figure 1 Anteroposterior and lateral radiograph of the right knee taken in 2010 (approximately 8 years after implantation) demonstrating unicompartmental knee arthroplasty with radiolucency around the tibial component and varus collapse, in addition to a radiolucent area around the femoral component suggesting loosening of the components. Arthroplasty Today 2019 5, 135-138DOI: (10.1016/j.artd.2019.02.004) Copyright © 2019 Terms and Conditions

Figure 2 Anteroposterior and lateral radiographs of the right knee showing the second antifungal cement spacer (composed of 4 bags of cement mix containing 200 mg of amphotericin B and 1 g of vancomycin per bag of cement) placed after explantation of the initial spacer. Molds were used. Arthroplasty Today 2019 5, 135-138DOI: (10.1016/j.artd.2019.02.004) Copyright © 2019 Terms and Conditions

Figure 3 Total knee arthroplasty revision with diaphyseal engaging press fit stems and metaphyseal press fit sleeve on the tibia. Simplex P with tobramycin bone cement (Stryker, Mahwah, NJ) was used on the implant surface. Arthroplasty Today 2019 5, 135-138DOI: (10.1016/j.artd.2019.02.004) Copyright © 2019 Terms and Conditions