1. Coccidioidomycosis in Joint Replacement: A Review of the Literature With Case Presentations
- Author
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Francesca Anna Giordani, BS, Brendan Kiernan, MD, Mauro Giordani, MD, Morgan Darrow, MD, Steven Thorpe, MD, and John P. Meehan, MD
- Subjects
Prosthetic joint infection ,Coccidiomycosis ,Knee replacement ,Hip replacement ,Fungal ,Orthopedic surgery ,RD701-811 - Abstract
Coccidioidomycosis is a fungal infection endemic to certain regions of the Americas. In some cases, the organism may infect the musculoskeletal system, resulting in a prosthetic joint infection (PJI). Due to its difficulty in diagnosis, treatment of coccidioidomycosis in PJI is often delayed. Furthermore, with limited number of case reports, a standard of care in treatment has yet to be established. We present 2 cases of coccidioidomycosis PJI, the extensive evaluation that led to the diagnosis, and the treatment provided. This report highlights the natural progression of coccidioidomycosis in a prosthetic joint, the diagnostic features including histology, advanced imaging, and final treatment administered.
- Published
- 2023
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