Recurrence of tuberculosis after hip replacement 58 years after primary infection Piotr Walczak , Kazimierz Rąpała , Mirosława Nowak-Misiak , Roman Pykało , Aleksandra Truszczyńska Ortop Traumatol Rehabil 2012; 14(2):189-196 ICID: 992304
Article type: Case report
IC™ Value: 1.80
Abstract provided by Publisher
The paper presents the case of a 73-year-old patient with a history of tuberculosis of the hip in childhood who received an Exeter total hip prosthesis. Tuberculosis recurred 58 years after primary infection and 9 years after THA. The authors analyzed the available literature, which described only a few case reports, because Mycobacterium tuberculosis infections of a joint implant after THA are extremely rare. They are frequently the result of local reactivation of the pathogen or, less commonly, an overlooked diagnosis of tuberculosis at the time of endoprosthesis implantation. Proper diagnostic work-up of infection is particularly difficult because synovial fluid cultures are usually negative. In addition, a coexisting Staphylococcus aureus infection may obscure the clinical presentation. In post-THA patients, complete anti-TB treatment is recommended. Particular caution should be observed in patients from regions with high TB morbidity or with a history of pulmonary and operated joint tuberculosis.
DOI 10.5604/15093492.992304 PMID 22619104 - click here to show this article in PubMed