Total hip arthroplasty complicated by tuberculous infection.
The case of a 66-year-old woman with tuberculous infection complicating a total hip arthroplasty that had been performed 4 years previously for degenerative arthritis is reported. The patient had no prior history of exposure to tuberculosis and no evidence of skeletal or nonskeletal tuberculous infection. The need for a high index of suspicion when dealing with unexpected arthroplasty failure is emphasized. Tuberculous cultures are recommended in these cases prior to revision surgery.
Kreder
H J
HJ
Division of Orthopaedic Surgery, Sunnybrook Health Science Center, North York, Ontario, Canada.
Davey
J R
JR
D000368:Aged; D000900:Anti-Bacterial Agents; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004977:Ethambutol / Q000627:therapeutic use; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D011718:Pyrazinamide / Q000627:therapeutic use; D011859:Radiography; D016059:Range of Motion, Articular; D012086:Reoperation; D012293:Rifampin / Q000627:therapeutic use; D014394:Tuberculosis, Osteoarticular / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology
D000900:Anti-Bacterial Agents; D011718:Pyrazinamide; D004977:Ethambutol; D007538:Isoniazid; D012293:Rifampin