title: [Tuberculous coxitis in the hips 55 years after primary tuberculosis].
abstract: We describe a case concerning tuberculous coxitis 55 years after primary tuberculosis. A 76-year old man developed hip pain, weight loss and a gluteal tumor. After three months he was diagnosed with tuberculous coxitis by ultrasound assisted aspiration from the joint. Anti-tuberculous chemotherapy was commenced. After three months a Girdlestone operation was performed and seven months later a total hip replacement was performed. Anti-tuberculous chemotherapy was continued for a total of 12 months. Early ultrasound assisted aspiration from the joint is recommended to shorten diagnostic delay and optimise treatment of tuberculous coxitis.
authors.affiliation: Ortopædkirurgisk Afdeling, Køge Sygehus, Denmark. kbarfod@dadlnet.dk
authors.forename: Kristoffer
authors.initials: K
authors.lastname: Barfod
authors.forename: Leif
authors.initials: L
authors.lastname: Broeng
authors.forename: Christian Niels
authors.initials: CN
authors.lastname: Meyer
mesh_terms: D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip; D057210:Delayed Diagnosis; D003937:Diagnosis, Differential; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000382:microbiology; D006801:Humans; D008297:Male; D015207:Osteoarthritis, Hip / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D011859:Radiography; D013997:Time Factors; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis* / Q000628:therapy; D014397:Tuberculosis, Pulmonary / Q000150:complications; D014463:Ultrasonography
chemical_list: D000995:Antitubercular Agents