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Failed Reverse Total Shoulder Arthroplasty Caused by Recurrent Candida glabrata Infection with Prior Serratia marcescens Coinfection
Joint Authors
Skedros, John G.
Updike, Wanda S.
Oliver, Marquam R.
Keenan, Kendra E.
Source
Case Reports in Infectious Diseases
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-06
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
This report describes a 58-year-old insulin-dependent diabetic male patient who initially sustained a proximal humerus fracture from a fall.
The fracture fixation failed and then was converted to a humeral hemiarthroplasty, which became infected with Candida glabrata and Serratia marcescens.
After these infections were believed to be cured with antibacterial and antifungal treatments and two-stage irrigation and debridement, he underwent conversion to a reverse total shoulder arthroplasty.
Unfortunately, the C.
glabrata infection recurred and, nearly 1.5 years after implantation of the reverse total shoulder, he had a resection arthroplasty (removal of all implants and cement).
His surgical and pharmacologic treatment concluded with (1) placement of a tobramycin-impregnated cement spacer also loaded with amphotericin B, with no plan for revision arthroplasty (i.e., the spacer was chronically retained), and (2) chronic use of daily oral fluconazole.
We located only three reported cases of Candida species causing infection in shoulder arthroplasties (two C.
albicans, one C.
parapsilosis).
To our knowledge, a total shoulder arthroplasty infected with C.
glabrata has not been reported, nor has a case of a C.
glabrata and S.
marcescens periprosthetic coinfection in any joint.
In addition, it is well known that S.
marcescens infections are uncommon in periprosthetic joint infections.
American Psychological Association (APA)
Skedros, John G.& Keenan, Kendra E.& Updike, Wanda S.& Oliver, Marquam R.. 2014. Failed Reverse Total Shoulder Arthroplasty Caused by Recurrent Candida glabrata Infection with Prior Serratia marcescens Coinfection. Case Reports in Infectious Diseases،Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-1034757
Modern Language Association (MLA)
Skedros, John G.…[et al.]. Failed Reverse Total Shoulder Arthroplasty Caused by Recurrent Candida glabrata Infection with Prior Serratia marcescens Coinfection. Case Reports in Infectious Diseases No. 2014 (2014), pp.1-9.
https://search.emarefa.net/detail/BIM-1034757
American Medical Association (AMA)
Skedros, John G.& Keenan, Kendra E.& Updike, Wanda S.& Oliver, Marquam R.. Failed Reverse Total Shoulder Arthroplasty Caused by Recurrent Candida glabrata Infection with Prior Serratia marcescens Coinfection. Case Reports in Infectious Diseases. 2014. Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-1034757
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034757