Evidence map›Paper›PMID 41541479›Full record

ArticleJournal of orthopaedic case reports2026

Candida albicans Periprosthetic Hip Infection Complicated by Recurrent Dislocations Following Revision Total Hip Arthroplasty: A Case Report.

Angelos Kontos, Panagiotis Karampinas, Ioannis Spyrou, Iordanis Varsamos, John Vlamis, Spiros G Pneumaticos

Abstract readCase Reports
In one paragraph

Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Angelos KontosDepartment of Orthopedics, National and Kapodistrian University of Athens, Medical School, KAT Hospital, Athens, Greece.
Panagiotis KarampinasDepartment of Orthopedics, National and Kapodistrian University of Athens, Medical School, KAT Hospital, Athens, Greece.
Ioannis SpyrouDepartment of Orthopedics, National and Kapodistrian University of Athens, Medical School, KAT Hospital, Athens, Greece.
Iordanis VarsamosDepartment of Orthopedics, National and Kapodistrian University of Athens, Medical School, KAT Hospital, Athens, Greece.
John VlamisDepartment of Orthopedics, National and Kapodistrian University of Athens, Medical School, KAT Hospital, Athens, Greece.
Spiros G PneumaticosDepartment of Orthopedics, National and Kapodistrian University of Athens, Medical School, KAT Hospital, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Fungal periprosthetic joint infections (PJI) are exceptionally rare, accounting for <1% of all PJIs. Among them, Candida albicans is the most frequently implicated pathogen, yet its management remains highly challenging. Case Report: We report the case of an 85-year-old female who presented with a draining sinus at the right hip, 4 weeks after revision total hip arthroplasty (THA). Her surgical history included a prior failed revision due to recurrent dislocation. Clinical and laboratory findings suggested PJI. Intraoperative cultures and sonication confirmed multimicrobial and C. albicans infection. Following 4 months of antimicrobial therapy, she underwent debridement and removal of the acetabular component. Postoperatively, she received a 4-week course of trimethoprim-sulfamethoxazole (960 mg 3 times daily) and a 12-week course of fluconazole (200 mg twice daily). The post-operative course was uneventful. At 6 and 12-month follow-up, she remained asymptomatic with a well-healed wound and negative inflammatory markers. Conclusion: Early recognition and combined surgical-pharmacological management can lead to infection eradication and functional preservation, even in rare polymicrobial fungal PJIs.

Indexed as

Candida albicansdebridement and implant retentionfluconazolefungal periprosthetic joint infectiontotal hip arthroplasty

Identifiers

PMID41541479
PMCPMC12801273

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