Rajme-López Sandra, González-Lara María F, Rangel-Cordero Andrea, Ponce-de-León Alfredo
Infectious Diseases Department, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Vasco de Quiroga 15, Mexico City, 14060, Mexico.
Clinical Microbiology Laboratory, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Vasco de Quiroga 15, Mexico City, 14060, Mexico.
Med Mycol Case Rep. 2023 Mar 21;40:33-35. doi: 10.1016/j.mmcr.2023.03.003. eCollection 2023 Jun.
Immunocompromised patients are at risk of opportunistic infections. This is a 67-year-old woman with systemic sclerosis and knee osteoarthritis who underwent left total knee arthroplasty in 2009. In 2018 she underwent surgery for presumed aseptic loosening. Inflammation and purulent fluid were found; implant was removed and replaced with a static spacer. Three weeks later, was isolated. She was successfully treated with itraconazole for 18 months; cultures on revision spacer replacement surgery were negative.
免疫功能低下的患者有发生机会性感染的风险。这是一位67岁患有系统性硬化症和膝关节骨关节炎的女性,她在2009年接受了左全膝关节置换术。2018年,她因疑似无菌性松动接受手术。术中发现炎症和脓性液体;取出植入物并更换为静态间隔物。三周后,[此处原文缺失具体内容]被分离出来。她接受伊曲康唑治疗18个月,治疗成功;翻修间隔物置换手术时的培养结果为阴性。