Incision Infection With Mycobacterium tuberculosis After Total Hip Arthroplasty Without Any Primary Tuberculosis Focus
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Date
2011
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Churchill Livingstone Inc.
Access Rights
info:eu-repo/semantics/closedAccess
Abstract
We describe a case of a tuberculous abscess unassociated with other clinical features of tuberculosis in a 46-year-old woman with a history of 4 hip surgeries plus total hip arthroplasty (THA) due to developmental hip dislocation. Four months after THA, she developed a collection at the incision site for which specimens produced positive culture findings for Mycobacterium tuberculosis. We could not detect any primary focus of tuberculosis anywhere in the patient's body. We performed soft-tissue debridement and drainage completely above the fascia lata to remove pus. The infection recurred twice despite chemotherapy and the earlier treatment. At a 6-year follow-up examination, there was no sign of either tuberculosis or prosthetic loosening. To our knowledge, this is the first report of localized tuberculous abscess within a THA incision. © 2011 Elsevier Inc.
Description
Keywords
Abscess; Incision Infection; Mycobacterium Tuberculosis; Total Hip Arthroplasty; Tuberculosis, C Reactive Protein; Cephalosporin; Ethambutol; Isoniazid; Pyrazinamide; Rifampicin; Abscess Drainage; Adult; Antibiotic Sensitivity; Antibiotic Therapy; Article; Bacterium Culture; Bacterium Isolate; Case Report; Combination Chemotherapy; Computer Assisted Tomography; Debridement; Erythrocyte Sedimentation Rate; Female; Follow Up; Hip Dislocation; Hip Osteoarthritis; Hip Pain; Hip Radiography; Hip Surgery; Human; Lymphocyte Count; Mycobacterium Tuberculosis; Protein Blood Level; Recurrent Infection; Skin Abscess; Skin Incision; Skin Swelling; Skin Tuberculosis; Surgical Infection; Total Hip Prosthesis; Tuberculin Test; Wound Dehiscence
Journal or Series
Journal of Arthroplasty
WoS Q Value
Scopus Q Value
Q1
Volume
26
Issue
3
