Scedosporium prolificans Septic Arthritis and Osteomyelitis of the Hip Joints in an Immunocompetent Patient: A Case Report and Literature Review

Scedosporium prolificans, also known as Scedosporium inflatum, is a fungus widespread in soil, sewage, and manure. This species is highly virulent and is an emerging opportunistic pathogen found in penetrating injuries in immunocompromised patients. Here we report on an immunocompetent patient with...

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Main Authors: Luca Daniele, Michael Le, Adam Franklin Parr, Lochlin Mark Brown
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2017/3809732
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author Luca Daniele
Michael Le
Adam Franklin Parr
Lochlin Mark Brown
author_facet Luca Daniele
Michael Le
Adam Franklin Parr
Lochlin Mark Brown
author_sort Luca Daniele
collection DOAJ
description Scedosporium prolificans, also known as Scedosporium inflatum, is a fungus widespread in soil, sewage, and manure. This species is highly virulent and is an emerging opportunistic pathogen found in penetrating injuries in immunocompromised patients. Here we report on an immunocompetent patient with bilateral hip S. prolificans-associated osteomyelitis and septic arthritis caused by intentional penetrating trauma. The condition was refractory to initial antimicrobial suppression and surgical irrigation and debridement. Successful outcome was achieved after incorporating a bilateral two-stage total-hip-arthroplasty with Voriconazole-loaded cement and spacer.
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institution Kabale University
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publishDate 2017-01-01
publisher Wiley
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series Case Reports in Orthopedics
spelling doaj-art-c30f8b5bcc1e441e95921612d090e9b62025-02-03T07:26:01ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/38097323809732Scedosporium prolificans Septic Arthritis and Osteomyelitis of the Hip Joints in an Immunocompetent Patient: A Case Report and Literature ReviewLuca Daniele0Michael Le1Adam Franklin Parr2Lochlin Mark Brown3Department of Orthopaedics, Gold Coast Health Service, Gold Coast University Hospital, 1 Hospital Blvd., Southport, QLD 4215, AustraliaDepartment of Orthopaedics, Gold Coast Health Service, Gold Coast University Hospital, 1 Hospital Blvd., Southport, QLD 4215, AustraliaDepartment of Orthopaedics, Gold Coast Health Service, Gold Coast University Hospital, 1 Hospital Blvd., Southport, QLD 4215, AustraliaDepartment of Orthopaedics, Gold Coast Health Service, Gold Coast University Hospital, 1 Hospital Blvd., Southport, QLD 4215, AustraliaScedosporium prolificans, also known as Scedosporium inflatum, is a fungus widespread in soil, sewage, and manure. This species is highly virulent and is an emerging opportunistic pathogen found in penetrating injuries in immunocompromised patients. Here we report on an immunocompetent patient with bilateral hip S. prolificans-associated osteomyelitis and septic arthritis caused by intentional penetrating trauma. The condition was refractory to initial antimicrobial suppression and surgical irrigation and debridement. Successful outcome was achieved after incorporating a bilateral two-stage total-hip-arthroplasty with Voriconazole-loaded cement and spacer.http://dx.doi.org/10.1155/2017/3809732
spellingShingle Luca Daniele
Michael Le
Adam Franklin Parr
Lochlin Mark Brown
Scedosporium prolificans Septic Arthritis and Osteomyelitis of the Hip Joints in an Immunocompetent Patient: A Case Report and Literature Review
Case Reports in Orthopedics
title Scedosporium prolificans Septic Arthritis and Osteomyelitis of the Hip Joints in an Immunocompetent Patient: A Case Report and Literature Review
title_full Scedosporium prolificans Septic Arthritis and Osteomyelitis of the Hip Joints in an Immunocompetent Patient: A Case Report and Literature Review
title_fullStr Scedosporium prolificans Septic Arthritis and Osteomyelitis of the Hip Joints in an Immunocompetent Patient: A Case Report and Literature Review
title_full_unstemmed Scedosporium prolificans Septic Arthritis and Osteomyelitis of the Hip Joints in an Immunocompetent Patient: A Case Report and Literature Review
title_short Scedosporium prolificans Septic Arthritis and Osteomyelitis of the Hip Joints in an Immunocompetent Patient: A Case Report and Literature Review
title_sort scedosporium prolificans septic arthritis and osteomyelitis of the hip joints in an immunocompetent patient a case report and literature review
url http://dx.doi.org/10.1155/2017/3809732
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