Reactivation of a tuberculous coxitis due to loosening of a total hip endoprosthesis.
A 45-year-old woman who suffered from juvenile tuberculous coxitis at the age of 4 is presented. Her hip joint replacement lasted for 18 years and then needed replacing. Intraoperatively removed caseous soft tissue and an opalescent secretion histologically resembled a tuberculous focus, and bacteriological culture grew a Mycobacterium tuberculosis strain. Four months after the replacement, the patient suffered from a tuberculosis-induced septic loosening of the newly replaced hip joint endoprosthesis. The tuberculosis relapse was probably due to aseptic loosening of the first hip joint endoprosthesis.
Fink
B
B
Orthopädische Klinik und Poliklinik, Heinrich-Heine-Universität, Düsseldorf, Germany.
Casser
H R
HR
Zilkens
K W
KW
Rüther
W
W
D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D011475:Prosthesis Failure; D012008:Recurrence; D014394:Tuberculosis, Osteoarticular / Q000209:etiology* / Q000601:surgery