Berbari HE, Gurram P, Mahmood M, Deziel PJ, Walker RC, Razonable RR. Prosthetic Joint Infections Due to
Histoplasma capsulatum: A Report of 3 Cases.
Mayo Clin Proc Innov Qual Outcomes 2021;
5:225-229. [PMID:
33718797 PMCID:
PMC7930794 DOI:
10.1016/j.mayocpiqo.2020.07.008]
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Abstract
Histoplasma capsulatum causes pneumonia and multisystemic disease in humans. Musculoskeletal involvement in histoplasmosis is most often tenosynovitis and rarely septic arthritis. Even more uncommon is the involvement of prosthetic joints. Here, we report a series of 3 cases of prosthetic joint failures caused by infection due to H capsulatum. Together with a review of 4 previously reported cases, we summarize host characteristics, clinical presentation, surgical approaches, antifungal management, and outcomes of this rare orthopedic joint infection.
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