Periprosthetic knee infection by Mycobacterium bovis and Candida guilliermondii in the context of a zoonosis: a case report and review of the literature

ConclusionsWe found no comparable cases in our literature search. Only a few joint infections byMycobacterium bovis after intravesical instillation of Bacillus Calmette –Guérin are described. Primary infections without previous Bacillus Calmette–Guérin injection appear to be even less frequent. In cases where mycobacterial infection cannot be ruled out, we recommend cultivating mycobacteria cultures for weeks. In addition, a histological examination of the ti ssue should be carried out. After diagnosis, the concept of a two-stage reimplantation of total knee arthroplasty with mycostatic therapy for 1 year and antimycotic therapy appears to be effective.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research