Brucella infection in total hip replacement: case report and review of the literature.
A 47-y-old female underwent revision of a left total hip replacement because of loose prosthesis. Routine intraoperative culture of the hip site grew Brucella sp. The patient was treated with a combination of vibramycin and rifampicin for 5 months. At 4-y follow-up, her condition is good. Though prosthetic infection with Brucella spp. is an extremly rare condition (only 1 case each of femur and hip, and 3 cases of knee had been previously reported in the English literature), brucella infection of prosthetic joints should be considered in brucella endemic areas.
Department of Surgery, Division of Orthopaedic Surgery, American University of Beirut Medical Center, PO Box, 113-6044, Beirut, Lebanon.
R A
RA
Kasim
G F
GF
Araj
N E
NE
Afeiche
Z A
ZA
Tabbarah
D000900:Anti-Bacterial Agents; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D002002:Brucella / Q000302:isolation & purification*; D002006:Brucellosis / Q000175:diagnosis* / Q000188:drug therapy; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000175:diagnosis / Q000601:surgery*; D016459:Prosthesis-Related Infections / Q000175:diagnosis* / Q000188:drug therapy; D018570:Risk Assessment; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents