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Fungal Infection Post Arthroscopic Meniscal Repair: A Rare Complication
Sai Krishna Mlv1, Nitin Chauhan1, Ravi Mittal1
1Orthopaedics, All India Institute of Medical Sciences, New Delhi, IND.
Abstract:
Infections after arthroscopic procedures are rare. Infection due to fungal organisms is rarer and difficult to diagnose due to its insidious nature and chronic presentation but when neglected has devastating consequences. We present a 23-year-old immunocompetent adult post-arthroscopic meniscal repair with fungal surgical site infection. The patient underwent open debridement and was started on antifungals. His surgical wound healed and with physiotherapy he regained his full range of movement.
Insights
Fungal surgical site infections are rare complications after arthroscopic procedures. Early diagnosis and treatment, including debridement and antifungals, are crucial for recovery.
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
- Mycology
Background:
- Post-arthroscopic infections are uncommon, with fungal infections being exceptionally rare.
- Fungal surgical site infections (SSIs) present insidiously and chronically, posing diagnostic challenges.
Observation:
- A case of a 23-year-old immunocompetent adult following arthroscopic meniscal repair is presented.
- The patient developed a fungal surgical site infection.
Findings:
- The fungal SSI required open debridement and a course of antifungal medication.
- Prompt intervention led to successful wound healing.
Implications:
- This case highlights the importance of considering rare fungal pathogens in persistent post-arthroscopic SSIs.
- Successful management underscores the efficacy of surgical debridement and antifungal therapy in resolving these challenging infections.
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