Universal Hospital Kadiköy, Istanbul, Turkey.
J Arthroplasty. 2011 Apr;26(3):505.e1-3. doi: 10.1016/j.arth.2009.11.025. Epub 2010 Mar 21.
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.
我们描述了一例 46 岁女性的结核脓肿病例，该女性无其他结核病临床特征，有 4 次髋关节手术史，因发育性髋关节脱位行全髋关节置换术（THA）。THA 后 4 个月，她在切口处出现积液，标本的培养结果为结核分枝杆菌阳性。我们在患者体内任何部位都没有发现任何结核原发性病灶。我们在阔筋膜上方完全进行软组织清创和引流以清除脓液。尽管进行了化疗和早期治疗，但感染仍复发了两次。在 6 年的随访检查中，既没有结核病也没有假体松动的迹象。据我们所知，这是首例 THA 切口内局限性结核脓肿的报告。
