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Orthopaedic Infections

Mycotic Infections

  • Indolent granulomatous infecftions
  • Abscesses, tissue destruction, ulceration
  • Mostly from direct spread from adjacent tissues
  • Divided into superficial & deep infections
    • Superficial
      • Enter through skin & spread contiguously
      • Maduromycoses
      • Sporothrix
      • Candida
      • Actinomycoses(not really a fungus but a bacteria that acts like a fungus)
    • Deep
      • Enter via lungs & spread via blood
      • Blastomyces
      • Histoplasma
      • Coccidioides
      • Cryptococcus
      • Aspergillus
      • Develop chronic granulomata in soft tissues(superficial) & bones or joints(deep)

Treatment
  • Antibiotics
  • Surgery
    • Wide excision of granulomata may be necessary to achieve a cure
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