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Related Concept Videos

Knee Joint01:23

Knee Joint

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The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
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Knee Arthrocentesis in Adults
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Refractory Arthrographis kalrae native knee joint infection.

Peter Boan1, Ian Arthur1, Clay Golledge1

  • 1Department of Microbiology and Infectious Diseases, PathWest Laboratory Medicine, QEII medical centre, Hospital Avenue, Nedlands, Perth 6009, Australia.

Medical Mycology Case Reports
|December 28, 2013
PubMed
Summary

Arthrographis kalrae fungal infections are rare and difficult to treat. This case study shows successful management of a refractory knee infection using joint revision and antifungal therapy.

Keywords:
ArthrographisArthrographis kalrae

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Area of Science:

  • Mycology
  • Infectious Diseases
  • Orthopedic Surgery

Background:

  • Infections caused by Arthrographis kalrae are infrequently reported and typically follow a prolonged clinical course.
  • Arthrographis kalrae is an uncommon cause of invasive fungal infections, presenting diagnostic and therapeutic challenges due to limited global data.

Purpose of the Study:

  • To describe a case of refractory knee infection caused by Arthrographis kalrae.
  • To highlight the management strategies for invasive Arthrographis kalrae infections in orthopedic settings.

Main Methods:

  • The study presents a case of native knee infection following penetrating injury and Yttrium synovectomy.
  • Treatment involved a two-stage joint revision and combination antifungal therapy.

Main Results:

  • The refractory Arthrographis kalrae knee infection was successfully controlled.
  • The combination of surgical intervention and antifungal treatment proved effective.

Conclusions:

  • Invasive Arthrographis kalrae infections, though rare, require persistent management.
  • Multimodal treatment including surgical revision and antifungal therapy is crucial for successful outcomes in challenging fungal joint infections.