Personal autonomy in the management of candidal prosthetic joint infection

• Authors: Iago Villamil-Cajoto , Alfonso Eynde-Collado , Luis Otero , Maria Villacian Vicedo
• Languages of publication: EN

Abstracts

EN

The principle of patient autonomy dominates the contemporary debate in medical ethics. Twenty-five years ago, most major medical decisions were left exclusively in the hands of physicians. Such decisions were usually made with beneficent intent but without open discussion, much less the full participation of the patient. Our case involves a patient’s decision to treat an infection with Candida species, the most common fungi affecting humans in a broad spectrum of opportunistic infections, including bones and joints. Only four recent cases of delayed reimplantation arthroplasty for candidal prosthetic joint infection have been reported, and there are no reports, besides ours, of successful non-surgical resolution of candidal prosthetic joint arthritis. We report this case as a patient’s choice with an excellent outcome.

Keywords

EN

Candida; Prostheses; Joint; Infection; Treatment; Personal autonomy; Antibiotics; Antifungal; Salmonella

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2012
• Volume: 7
• Issue: 4
• Pages: 539-541

Dates

published

1 - 8 - 2012

online

24 - 5 - 2012

Contributors

author

Iago Villamil-Cajoto

• Department of Internal Medicine, Hospital Clinico Universitario, 15706, Santiago de Compostela, Spain

author

Alfonso Eynde-Collado

• Department of Internal Medicine, Hospital Clinico Universitario, 15706, Santiago de Compostela, Spain

author

Luis Otero

• Department of Internal Medicine, Hospital Clinico Universitario, 15706, Santiago de Compostela, Spain

author

Maria Villacian Vicedo

• Department of Internal Medicine, Hospital Clinico Universitario, 15706, Santiago de Compostela, Spain

References

• [1] Phelan DM, Osmon DR, Keating MR, Hanssen AD. Delayed reimplantation arthroplasty for candidal prosthetic joint infection: a report of 4 cases and review of the literature. Clin Infect Dis 2002; 34:930–938 http://dx.doi.org/10.1086/339212[Crossref]
• [2] Brooks DH, Pupparo F. Successful salvage of a primary total knee arthroplasty infected with Candida parapsilosis. J Arthroplasty 1998; 13:707 712 http://dx.doi.org/10.1016/S0883-5403(98)80017-X[Crossref]
• [3] Darouiche RO, Hamill RJ, Musher DM, Young EJ, Harris RL. Periprosthetic candidal infections following arthroplasty. Rev Infect Dis 1989; 11:89 96 http://dx.doi.org/10.1093/clinids/11.1.89[Crossref]
• [4] Tunkel AR, Thomas CY, Wispelwey B. Candida prosthetic arthritis: Report of a case treated with fluconazole and review of the literature. Am J Med 1993; 94:100–103 http://dx.doi.org/10.1016/0002-9343(93)90127-B[Crossref]
• [5] Cardinal E, Braunstein EM, Capello WN, Heck DA Candida albicans infection of prosthetic joints. Orthopedics 1996;19:247–251
• [6] Lentino JR. Prosthetic joint infections: bane of orthopedists, challenge for infectious disease specialist. Clin Infect Dis 2003;36:1157–1161 http://dx.doi.org/10.1086/374554[Crossref]

Identifiers

DOI

10.2478/s11536-012-0018-8