PMC3299340_01
(a) Standing knee radiograph showed multiple patched subchondral lesions of the distal femur and proximal tibia, joint space narrowing, and definite osteophyte. (b) After disappearing of the infection sign, standing knee radiograph showed aggravation of intra-articular deformity.
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Knee radiographs revealed multiple patched subchondral lesions of the distal femur and proximal tibia, severe joint space narrowing, and definite osteophytes (Figure 1(a)). After the inflammation had resolved, the patient had pain on the medial side of the knee joint with ambulation, and rechecking knee radiographs revealed aggravation of the patient's intra-articular deformity due to the candidal infection (Figure 1(b)).
Primary total knee replacement with the Duracon prosthesis (Howmedica, Rutherford, NJ, USA) was performed.
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After 4 months, primary total knee replacement with a Duracon prosthesis (Howmedica, Rutherford, NJ, USA) was performed (Figure 2).
(a) Superficial infection at proximal operative site was noted at postoperative week 2. Debridement and closure were performed. (b) After 6 months of follow-up, there was no abnormal finding such as inflammation, and he has led a normal life.
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The wound was daily dressed, and intravenous amphotericin was injected; however, redness and swelling were observed at the proximal operative site 1 week postoperatively (Figure 3).