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Fungal infection of prosthetic joints: a report of two cases

J S Goodman, D G Seibert, G E Reahl

    The Journal of Rheumatology
    |June 1, 1983
    PubMed

    Insights

    Yeast infections of prosthetic joints, caused by Torulopsis glabrata and Candida albicans, can occur long after surgery. Effective treatment for these prosthetic joint infections typically requires removal of the infected prosthetic device.

    Area of Science:

    • Infectious Diseases
    • Orthopedics
    • Mycology

    Background:

    • Prosthetic joint infections (PJIs) are a serious complication following joint replacement surgery.
    • Fungal infections, particularly yeast infections, are less common but can be challenging to treat.
    • Torulopsis glabrata (now known as Candida glabrata) and Candida albicans are opportunistic yeasts that can cause infections.

    Purpose of the Study:

    • To describe two cases of yeast infection in prosthetic joints.
    • To highlight the clinical presentation and management of these rare infections.
    • To emphasize the importance of considering fungal pathogens in PJIs.

    Main Methods:

    • Case report of two patients with prosthetic joint infections.
    • Identification of the causative yeast species through microbiological analysis.
    • Clinical follow-up to assess treatment outcomes.

    Main Results:

    • Two distinct cases of prosthetic joint infection by Torulopsis glabrata and Candida albicans are presented.
    • Infections occurred in patients without predisposing underlying illnesses.
    • One case manifested 27 months post-implantation, indicating late-onset infection.
    • Surgical intervention involving device removal was crucial for resolution.

    Conclusions:

    • Yeast infections of prosthetic joints, though uncommon, necessitate prompt diagnosis and management.
    • Late-onset prosthetic joint infections should prompt consideration of unusual pathogens like yeasts.
    • Complete removal of the prosthetic device is often essential for successful treatment of fungal PJIs.

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