Document Detail


Total hip replacement infected with Mycobacterium tuberculosis. A case report with review of literature.
MedLine Citation:
PMID:  17515245     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Mycobacterium Tuberculosis infection of a total joint prosthesis in patients with previous pulmonary or osteoarticular tuberculosis is well recorded in literature. We describe the case of a 59-year-old woman with tuberculous infection complicating a total hip arthroplasty 15 months after surgery for osteoarthritis. The patient had no prior history of exposure to tuberculosis and no evidence of pulmonary or osteoarticular tuberculosis. She was treated with four-drug antituberculous chemotherapy for 12 months with retention of the prosthesis. The purpose of this case report and literature review is to highlight to the Western Orthopaedic surgeon the importance of keeping in mind a differential diagnosis of tuberculosis while dealing with prosthetic joint infections. The infection of a joint with Mycobacterium Tuberculosis in patients without previous tuberculosis is very uncommon. We have reviewed the surgical and medical management of the cases reported in literature.
Authors:
Vasudev Shanbhag; Rahul Kotwal; Atul Gaitonde; Keshav Singhal
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  73     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-05-22     Completed Date:  2007-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  268-74     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Princess of Wales Hospital, Bridgend, United Kingdom. swarvasu@aol.com
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MeSH Terms
Descriptor/Qualifier:
Diagnosis, Differential
Female
Femur / radiography
Femur Neck / radiography
Hip Prosthesis / adverse effects*
Humans
Middle Aged
Osteoarthritis, Hip / surgery
Prosthesis-Related Infections / drug therapy*,  microbiology
Tuberculosis, Osteoarticular / diagnosis,  drug therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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