{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:28Z","timestamp":1787755468253,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      An 18-year-old woman underwent arthroscopic anterior cruciate ligament reconstruction (ACLR) but developed recurrent knee effusion. At age 25 years, her right knee pain worsened, and radiographs revealed extensive bone loss. She was diagnosed with fungal (\n                      <jats:italic toggle=\"yes\">Candida parapsilosis<\/jats:italic>\n                      ) osteomyelitis by synovial fluid cultures. She underwent 2-stage surgery involving an amphotericin B-loaded cement spacer implantation and bone defect grafting. No recurrence of infection has been noted for 3 years postoperatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Fungal osteomyelitis may have few signs of local infection and often remains undiagnosed until bone loss occurs. Differential diagnosis should include this disease when there is recurrent knee effusion after ACLR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00096","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T23:01:15Z","timestamp":1643670075000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Difficult Diagnosis of Fungal Arthritis After Arthroscopic Anterior Cruciate Ligament Reconstruction"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0549-4284","authenticated-orcid":false,"given":"Yu","family":"Taniguchi","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6951-0477","authenticated-orcid":false,"given":"Akihiro","family":"Kanamori","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9293-3531","authenticated-orcid":false,"given":"Masashi","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"issue":"7","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"1392","DOI":"10.1016\/j.arthro.2014.12.026","article-title":"Functional outcome and graft retention in patients with septic arthritis after anterior cruciate ligament reconstruction: a systematic review","volume":"31","author":"Makhni","year":"2015","journal-title":"Arthroscopy."},{"issue":"3","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1007\/s00264-015-2884-6","article-title":"Managing septic arthritis after knee ligament reconstruction","volume":"40","author":"Torres-Claramunt","year":"2016","journal-title":"Int Orthop."},{"key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1097\/00003086-200205000-00026","article-title":"Septic arthritis in postoperative anterior cruciate ligament reconstruction","volume":"398","author":"Indelli","year":"2002","journal-title":"Clin Orthop Relat Res."},{"issue":"9","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"2136","DOI":"10.1007\/s00167-013-2648-z","article-title":"Recommendations for the management of septic arthritis after ACL reconstruction","volume":"22","author":"Wang","year":"2014","journal-title":"Knee 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Surg Am."},{"issue":"21","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"e1241","DOI":"10.2106\/JBJS.J.00782","article-title":"Chondrolysis of the tibial plateau caused by articular aspergillosis after ACL autograft reconstruction: management with a fresh osteochondral allograft: a case report","volume":"93","author":"Antkowiak","year":"2011","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"362","DOI":"10.3928\/01477447-20090501-21","article-title":"Bread mold osteomyelitis in the femur","volume":"32","author":"Wilkins","year":"2009","journal-title":"Orthopedics."},{"issue":"1","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"ofv207","DOI":"10.1093\/ofid\/ofv207","article-title":"Candida arthritis: analysis of 112 pediatric and adult cases","volume":"3","author":"Gamaletsou","year":"2016","journal-title":"Open Forum Infect 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