An immunocompromised patient with a history of multiple hip implant revisions extended courses of empiric antibiotic treatment, and a retained metallic rod in the femoral medullary canal was transferred for diagnostic studies and treatment. A high suspicion of fungal infection and utilization of extended and specific fungal cultures were the diagnostic keys for infection with Trichosporon inkin. The treatment consisted in a debridement surgery with the use of a functional spacer with cement supplemented with voriconazole and vancomycin plus a 6-month systemic treatment with voriconazole. After 2 years of follow-up, the patient is free of symptoms.
Burgo, F. J., Mengelle, D. E., Abraham, A., Kremer, G., & Autorino, C. M. (2018). Periprosthetic fungal infection of a hip caused by Trichosporon inkin. Arthroplasty Today, 4(1), 24–26. https://doi.org/10.1016/j.artd.2017.05.005