Peri-prosthetic tuberculous infection of the hip in a patient with no previous history of tuberculosis.
We report a case of peri-prosthetic tuberculous infection nine years after total hip arthroplasty in a patient with no history of tuberculosis before the procedure. Further investigation revealed active pulmonary tuberculosis which was thought to have spread haematogeneously to the arthroplasty. The infection did not respond to standard antituberculous drugs. Removal of the prosthesis and insertion of an antibiotic spacer were required.
Department of Orthopaedic Surgery, Sapporo Medical University, School of Medicine, and Division of Orthopaedic Surgery, Sapporo Minami National Hospital, Sapporo 060-8543, Hokkaido, Japan. mkaya@sapmed.acjp
M
M
Kaya
S
S
Nagoya
T
T
Yamashita
N
N
Niiro
M
M
Fujita
D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D006621:Hip Joint / Q000382:microbiology*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000175:diagnosis*; D012086:Reoperation; D014376:Tuberculosis / Q000175:diagnosis*; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis
D000995:Antitubercular Agents