Şeyma ÇİFCİ, Nazlım AKTUĞ DEMİR, Şua SÜMER, Onur URAL, Fatma ÇÖLKESEN

Diz Ekleminde Candida Üreyen Protez Enfeksiyonu Olgusu

Giriş: Mantar protez eklem enfeksiyonları, tüm protez enfeksiyonu vakalarının az bir kısmını oluşturur ve candida türleri de bu vakaların çoğunluğunda etkendir. Mantar protez eklem enfeksiyonlarının çoğu revizyon artroplastisinden sonra ortaya çıkar. Olgu: Yetmiş iki yaşında erkek hasta, gonartroz nedeniyle sağ dizine yönelik total diz protez operasyonu uygulanmış. Yaklaşık 5 ay sonra bakteriyel protez enfeksiyonu nedeni ile yatırılarak tedavi edildi. Taburculuktan 8 gün sonra sağ dizde şişlik, ağrı, ısı artışı ve kızarıklık şikayetleri ile tekrar başvurdu. Protez enfeksiyonu nedeni ile tekrar yatırıldı. Hastanın diz ekleminde Candida albicans üremesi olması nedeni ile hastaya antifungal tedavi başlandı. Toplamda 2.5 ay antifungal tedavi verildi. Sorunsuz şekilde iyileşen hasta poliklinik takiplerine devam etmektedir. Tartışma: Biz bu olgu sunumunda protez enfeksiyonunda risk faktörleri varlığında etkenin mantar da olabileceğini unutmamamız gerektiğini, operasyon esnasında mutlaka kültür alınması gerektiğini ve sonuçta mantar ilişkili protez enfeksiyonlarında etkili ve uzun bir süre antifungal tedavi verilmesi gerektiğini vurgulamak istedik.

Anahtar Kelimeler:

protez enfeksiyonu, diz eklemi, Candida

A Case of Prosthetic Infection with Candida Growth in the Knee Joınt

Introduction: Fungal prosthetic joint infections, constitute a small portion of all prosthetic infection cases and candida species are the causative agent in the majority of these cases. Most fungal prosthetic joint infections occur after revision arthroplasty. Case: A 72-year-old male patient, underwent total knee prosthesis operation for the right knee due to gonarthrosis. About 5 months later, he was hospitalized and treated due to bacterial prosthesis infection. 8 days after discharge, he applied again with the complaints of swelling, pain, temperature increase and redness in the right knee. He was hospitalized again due to prosthesis infection. Antifungal treatment was started for the patient due to the growth of Candida albicans in the knee joint. A total of 2.5 months of antifungal therapy was given. The patient, who recovered without any problems, continues to follow up in the outpatient clinic. Discussion: In this case report, we wanted to emphasize that in the presence of risk factors in prosthesis infection, we should not forget that the cause may also be fungus, that culture should be taken during the operation and that effective and long-term antifungal treatment should be given in fungal-related prosthesis infections.

Keywords:

Candida, prosthesis infection, knee joint,

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