{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T22:22:35Z","timestamp":1768342955045,"version":"3.49.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Fungal periprosthetic joint infections (PJI) are exceptionally rare, accounting for &lt;1% of all PJIs. Among them, Candida albicans is the most frequently implicated pathogen, yet its management remains highly challenging.\n\nCase Report: We report the case of an 85-year-old female who presented with a draining sinus at the right hip, 4 weeks after revision total hip arthroplasty (THA). Her surgical history included a prior failed revision due to recurrent dislocation. Clinical and laboratory findings suggested PJI. Intraoperative cultures and sonication confirmed multimicrobial and C. albicans infection. Following 4 months of antimicrobial therapy, she underwent debridement and removal of the acetabular component. Postoperatively, she received a 4-week course of trimethoprim\u2013sulfamethoxazole (960 mg 3 times daily) and a 12-week course of fluconazole (200 mg twice daily). The post-operative course was uneventful. At 6 and 12-month follow-up, she remained asymptomatic with a well-healed wound and negative inflammatory markers.\n\nConclusion: Early recognition and combined surgical\u2013pharmacological management can lead to infection eradication and functional preservation, even in rare polymicrobial fungal PJIs.\n\nKeywords: Candida albicans, fungal periprosthetic joint infection, total hip arthroplasty, debridement and implant retention, fluconazole.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i01.6608","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T15:47:46Z","timestamp":1768319266000},"page":"81-86","source":"Crossref","is-referenced-by-count":0,"title":["Candida albicans Periprosthetic Hip Infection Complicated by Recurrent Dislocations Following Revision Total Hip Arthroplasty: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"name":"Department of Orthopedics, National and Kapodistrian University of Athens, Medical School, KAT Hospital, Athens, Greece.","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelos","family":"Kontos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiotis","family":"Karampinas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopedics, National and Kapodistrian University of Athens, Medical School, KAT Hospital, Athens, Greece.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioannis","family":"Spyrou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopedics, National and Kapodistrian University of Athens, Medical School, KAT Hospital, Athens, Greece.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iordanis","family":"Varsamos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopedics, National and Kapodistrian University of Athens, Medical School, KAT Hospital, Athens, Greece.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Vlamis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopedics, National and Kapodistrian University of Athens, Medical School, KAT Hospital, Athens, Greece.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Spiros G","family":"Pneumaticos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopedics, National and Kapodistrian University of Athens, Medical School, KAT Hospital, Athens, Greece.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T15:47:49Z","timestamp":1768319269000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/01\/candida-albicans-periprosthetic-hip-infection-complicated-by-recurrent-dislocations-following-revision-total-hip-arthroplasty-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i01.6608","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}