{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:05:21Z","timestamp":1770815121630,"version":"3.50.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Fungal infections of native joints are exceedingly rare and often present with non-specific symptoms, making diagnosis challenging. Hip involvement is particularly uncommon and may mimic tuberculosis or bacterial septic arthritis. Patients on long-term hemodialysis are at increased risk due to their immunocompromised state and repeated vascular access.\n\nCase Report: We present the case of a 52-year-old male with chronic kidney disease on maintenance hemodialysis for 5 years, who developed progressive left hip pain and functional limitation over 18 months. Radiological evaluation revealed destructive arthritis. He underwent a two-stage procedure: Initial debridement with insertion of an antibiotic cement spacer, during which intra-operative cultures yielded Candida guilliermondii. The patient received six weeks of intravenous Caspofungin. After normalisation of inflammatory markers, a second-stage total hip replacement was performed. Post-operatively, the patient achieved independent ambulation with significant pain relief and improved hip function.\n\nConclusion: Candida guilliermondii infection of the native hip in dialysis-dependent patients is exceptionally rare [6, 7, 8]. Early diagnosis with culture confirmation, followed by antifungal therapy and staged surgical management, is critical for optimal functional recovery.\n\nKeywords: Fungal arthritis, native hip infection, Candida guilliermondii, hemodialysis, total hip replacement.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i02.6794","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T05:22:12Z","timestamp":1770787332000},"page":"185-187","source":"Crossref","is-referenced-by-count":0,"title":["Fungal Infection of Native Hip Joint Presenting as Secondary Arthritis in 52-Year-Old Male \u2013 A Rare Case Report"],"prefix":"10.13107","volume":"16","author":[{"name":"Department of Orthopaedics, Star Hospital, Hyderabad, Telangana, India.","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikram Venkatesh","family":"Raykar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Praveen","family":"Mereddy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Star Hospital, Hyderabad, Telangana, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shashi Kanth","family":"Godey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Star Hospital, Hyderabad, Telangana, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veda","family":"Prakash G","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Star Hospital, Hyderabad, Telangana, India.","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":[[2026,2,11]],"date-time":"2026-02-11T05:22:13Z","timestamp":1770787333000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/02\/fungal-infection-of-native-hip-joint-presenting-as-secondary-arthritis-in-52-year-old-male-a-rare-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i02.6794","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}