Secondary infection of a total hip replacement with Brucella abortus.
A 54-year-old dairy farmer developed systemic manifestations of brucellosis five months following total hip replacement. Initial medical treatment with tetracycline relieved his systemic symptoms; however, hip symptoms persisted up to two years later. At surgery, a culture of the hip grew Brucella abortus. Subsequent treatment with parenteral antibiotics and a one-stage total hip revision utilizing streptomycin-impregnated cement was performed. The patient has remained symptom free at 36 months following the revision arthroplasty.
R E
RE
Jones
W H
WH
Berryhill
J
J
Smith
A
A
Hofmann
D
D
Rogers