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Case Reports in Orthopedics
Volume 2017, Article ID 3809732, 5 pages
https://doi.org/10.1155/2017/3809732
Case Report

Scedosporium prolificans Septic Arthritis and Osteomyelitis of the Hip Joints in an Immunocompetent Patient: A Case Report and Literature Review

Department of Orthopaedics, Gold Coast Health Service, Gold Coast University Hospital, 1 Hospital Blvd., Southport, QLD 4215, Australia

Correspondence should be addressed to Michael Le; moc.liamg@el39.leahcim

Received 11 November 2016; Accepted 22 December 2016; Published 10 January 2017

Academic Editor: Mark K. Lyons

Copyright © 2017 Luca Daniele et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Scedosporium prolificans, also known as Scedosporium inflatum, is a fungus widespread in soil, sewage, and manure. This species is highly virulent and is an emerging opportunistic pathogen found in penetrating injuries in immunocompromised patients. Here we report on an immunocompetent patient with bilateral hip S. prolificans-associated osteomyelitis and septic arthritis caused by intentional penetrating trauma. The condition was refractory to initial antimicrobial suppression and surgical irrigation and debridement. Successful outcome was achieved after incorporating a bilateral two-stage total-hip-arthroplasty with Voriconazole-loaded cement and spacer.