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.
Kasim
R A
RA
Department of Surgery, Division of Orthopaedic Surgery, American University of Beirut Medical Center, PO Box, 113-6044, Beirut, Lebanon.
Araj
G F
GF
Afeiche
N E
NE
Tabbarah
Z A
ZA
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