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Updated: May 11, 2026

A Periprosthetic Joint Candida albicans Infection Model in Mouse
Published on: February 2, 2024
Candida tropicalis: diagnostic dilemmas for an unusual prosthetic hip infection
Surjit Lidder1, A Tasleem, S Masterson
1Department of Trauma and Orthopaedics, Eastbourne DGH, East Sussex, UK. surjitlidder@me.com
Abstract:
Infection is the third commonest cause of total hip arthroplasty failure. Infections of the hip with Candida species are extremely rare with only a few reports in the literature. A case of a 76-year-old female subject is presented illustrating both the difficulty in initial diagnosis and the challenges faced in hip reconstruction.
Insights
Candida hip infections are rare causes of total hip arthroplasty failure. This case highlights diagnostic challenges and surgical reconstruction difficulties in elderly patients.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Mycology
Background:
- Total hip arthroplasty (THA) is a common procedure for hip joint issues.
- Infection remains a significant complication, ranking as the third leading cause of THA failure.
- While bacterial infections are well-documented, fungal infections, particularly by Candida species, are exceptionally rare.
Observation:
- A case study involving a 76-year-old female patient with a hip infection is presented.
- The patient's presentation illustrated significant challenges in achieving an accurate and timely initial diagnosis.
- The complexity of managing and reconstructing the hip joint post-infection was also evident.
Findings:
- Candida species represent an extremely uncommon etiology for hip joint infections following arthroplasty.
- The diagnostic pathway for fungal hip infections can be protracted and complex.
- Surgical reconstruction in cases of Candida hip infection presents unique and substantial challenges.
Implications:
- Increased awareness of rare fungal pathogens like Candida is crucial for orthopedic surgeons.
- Development of improved diagnostic strategies for fungal prosthetic joint infections is warranted.
- Further research into effective treatment protocols and surgical techniques for Candida hip arthroplasty infections is needed.
