Femoral Distal Mucormycosis after a Knee Meniscectomy

What is it about?

Although various complications have been reported following knee arthroscopy, postoperative infections are rare. Fungal osteomyelitis remains a very unusual complication, but it is associated with severe consequences. Only 10 cases of fungal osteomyelitis following anterior cruciate ligament (ACL) reconstruction have been reported in the literature. To our knowledge, case we report, is the first mycotic infection following a routine arthroscopic knee procedure, a partial meniscectomy.

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Why is it important?

Fungal infections should be suspected in patients with persistent signs and symptoms of septic arthritis following an arthroscopic procedure, despite conventional cultures consistently positive for bacteria, and normally adequate treatment using specific antibiotic therapy. For a successful resolution of fungal osteomyelitis, two-stage procedures including radical debridement and prolonged antifungal treatment should be employed.