Kumar Mukesh, Thilak Jai, Zahoor Adnan, Jyothi Arun
Department of Orthopedics, Amrita Institute of Medical Science and Research Centre, Kochi, Kerala, India.
Indian J Orthop. 2016 May-Jun;50(3):327-30. doi: 10.4103/0019-5413.181783.
Aspergillus septic arthritis is a rare and serious medical and surgical problem. It occurs mainly in immunocompromised patients. Aspergillus fumigatus is the most common causative organism followed by Aspergillus flavus. The most common site affected is knee followed by shoulder, ankle, wrist, hip and sacroiliac joint. Debridement and voriconazole are primary treatment of articular aspergilosis. To the best of our knowledge, there are no reported cases of co-infection of tuberculosis (TB) and Aspergillus infecting joints. We report a case of co-infection of TB and A. flavus of hip and knee of a 60-year-old male, with type 2 diabetes mellitus. He was treated with debridement, intravenous voriconazole, and antitubercular drugs.
曲霉菌性败血症性关节炎是一个罕见且严重的医学和外科问题。它主要发生在免疫功能低下的患者中。烟曲霉是最常见的致病微生物，其次是黄曲霉。最常受影响的部位是膝关节，其次是肩关节、踝关节、腕关节、髋关节和骶髂关节。清创术和伏立康唑是关节曲霉菌病的主要治疗方法。据我们所知，尚无结核病（TB）和曲霉菌共同感染关节的报道病例。我们报告一例60岁2型糖尿病男性患者，髋关节和膝关节同时感染结核和黄曲霉的病例。他接受了清创术、静脉注射伏立康唑和抗结核药物治疗。
