Shanbhag Vasudev, Kotwal Rahul, Gaitonde Atul, Singhal Keshav
Department of Orthopaedics, Princess of Wales Hospital, Bridgend, United Kingdom.
Acta Orthop Belg. 2007 Apr;73(2):268-74.
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.
既往有肺结核或骨关节结核的患者发生全关节假体结核分枝杆菌感染在文献中有充分记载。我们描述了一例59岁女性病例，该患者在骨关节炎手术后15个月因结核感染使全髋关节置换术复杂化。患者既往无结核接触史，也无肺结核或骨关节结核证据。她接受了四联抗结核化疗12个月，假体得以保留。本病例报告及文献综述的目的是向西方骨科医生强调在处理人工关节感染时牢记结核鉴别诊断的重要性。既往无结核的患者发生结核分枝杆菌关节感染非常罕见。我们回顾了文献中报道病例的手术及内科治疗情况。
