Ortopedia e Traumatologia, Azienda Ospedaliera Brotzu, Cagliari, Italy.
Ortopedia e Traumatologia, ASSL 6, Ospedale NS Bonaria, San Gavino Monreale, Italy.
J Infect Dev Ctries. 2020 Feb 29;14(2):223-227. doi: 10.3855/jidc.12053.
Tubercular periprosthetic joint infections (PJI) are uncommon diseases in developed countries. Therefore, the systematic screening for Mycobacterium tuberculosis (TB) is not currently recommended before a total knee arthroplasty procedure. However, due to the new human migration flows and higher mycobacterial infection rates, tuberculosis could represent a rare but potential cause for PJI. Controversies about tubercular PJI diagnosis, management and treatment still exist due to a lack of clinical evidence. In the current report we present the case of an early-onset M. tuberculosis PJI of the knee and its successful conservative treatment with two years follow-up.
结核性人工关节周围感染（PJI）在发达国家较为少见。因此，目前不建议在全膝关节置换术前对分枝杆菌结核（TB）进行系统筛查。然而，由于新的人类迁移流动和更高的分枝杆菌感染率，结核可能是 PJI 的罕见但潜在原因。由于缺乏临床证据，关于结核性 PJI 的诊断、管理和治疗仍存在争议。在本报告中，我们介绍了一例膝关节早期结核分枝杆菌 PJI 的病例，并通过两年的随访成功采用保守治疗。
