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Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 5, 734-735.
doi: 10.1302/0301-620X.85B5.13879  
Copyright © 2003 by British Editorial Society of Bone and Joint Surgery
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CANDIDA SEPTIC ARTHRITIS OF THE HIP IN A YOUNG PATIENT WITHOUT PREDISPOSING FACTORS

K. Kawanabe, MD, PhD, Associate Professor1; H. Hayashi, MD, PhD, Orthopaedic Surgeon2; M. Miyamoto, MD, Orthopaedic Surgeon2; J. Tamura, MD, PhD, Associate Professor1; M. Shimizu, MD, PhD, Associate Professor1; and T. Nakamura, MD, PhD, Professor1

1 Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
2 Department of Orthopaedic Surgery, Kyoto Senbai Hospital, 447 Maegawa-cho, Myohoin, Higashiyama-ku, Kyoto, 605-0932, Japan.

Correspondence should be sent to Dr K. Kawanabe.

We present a case of septic arthritis of the hip caused by Candida albicans in a 24-year-old woman. This is the first report of a Candida infection of the hip in a patient without any predisposing factors. She underwent a two-stage total hip arthroplasty three years after the onset of the infection. An elevated plasma level of ß-D-glucan suggested Candida as the infecting organism and the diagnosis might have been made earlier if this test had been undertaken at presentation.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General