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Journal Contents   |    
Acute Candida Arthritis REPORT OF A CASE AND USE OF AMPHOTERICIN B
FRANK R. NOYES; JOHN D. MCCABE; F. ROBERT FEKETYJR.
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From the Section of Orthopaedic Surgery and Division of Infectious Disease, University of Michigan Medical Center, Ann Arbor
1973 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1973; 55:169-176 
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Abstract

A case of Candida infection of the knee and probably also of the hip is reported, emphasizing the predisposing factors in its genesis. A treatment program using a bioassay of amphotericin B concentrations in the serum and joint aspirate is discussed. This allows use of a dose lower than usually recommended and avoids the more toxic dose-related side effects. Amphotericin B administered systemically penetrated the joint in therapeutic levels. Systemic treatment and repeated aspirations produced a prompt response obviating the need for surgical drainage.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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