Cryptococcus neoformans Prosthetic Joint Infection: Case Report and Review of the Literature

Neel B. Shah, Shmuel Shoham, Seema Nayak

Research output: Contribution to journalArticle

Abstract

A 77-year-old woman with diabetes mellitus, myasthenia gravis and bilateral total hip arthroplasties underwent a two-stage procedure followed by treatment with vancomycin for a coagulase-negative staphylococcal prosthetic hip infection. This was complicated by a spontaneous left hip dislocation with a hematoma that was evacuated; all intraoperative cultures grew out Cryptococcus neoformans. Treatment with intravenous liposomal amphotericin B was started. Her prosthetic device was retained, and she was treated for 12 weeks, after which she was transitioned to fluconazole for long-term therapy. The hip remained stable 1 year out from her admission, and she retained mobility with the assistance of a walker. Fungi are an uncommon but potentially devastating cause of prosthetic joint infections, and most are due to Candida species [1]. Cryptococcus neoformans is an ubiquitous yeast with worldwide distribution that generally causes infections in patients with major T cell immune deficiencies (e.g., HIV, transplantation and receipt of corticosteroids). Cryptococcal infections of native osteoarticular structures are uncommon, but have been well described in the literature [2, 3]. Data regarding cryptococcal prosthetic joint infections, however, are sparse [4].

Original languageEnglish (US)
Pages (from-to)275-278
Number of pages4
JournalMycopathologia
Volume179
Issue number3-4
DOIs
StatePublished - 2015

Fingerprint

Cryptococcus neoformans
hips
Joints
case studies
Hip
Infection
infection
hematoma
Hip Dislocation
fluconazole
vancomycin
Fluconazole
amphotericin B
Coagulase
Myasthenia Gravis
immunosuppression
adrenal cortex hormones
Vancomycin
diabetes mellitus
Candida

ASJC Scopus subject areas

  • Plant Science
  • Agronomy and Crop Science
  • Applied Microbiology and Biotechnology
  • Microbiology
  • veterinary (miscalleneous)

Cite this

Cryptococcus neoformans Prosthetic Joint Infection : Case Report and Review of the Literature. / Shah, Neel B.; Shoham, Shmuel; Nayak, Seema.

In: Mycopathologia, Vol. 179, No. 3-4, 2015, p. 275-278.

Research output: Contribution to journalArticle

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