Mercy Health Saint Mary's Hospital Department of Infectious Diseases, Michigan State University College of Human Medicine, Grand Rapids, Michigan.
Michigan State University College of Human Medicine, Grand Rapids, Michigan.
JBJS Case Connect. 2022 Sep 13;12(3). doi: e22.00333. eCollection 2022 Jul 1.
A 69-year-old male patient, 5 years after a well-functioning total hip arthroplasty for severe osteoarthritis, presented with a 3-month history of progressive, unrelenting, "burning" pain in his right hip with accompanying fullness of the right thigh. Inflammatory markers were elevated, and imaging revealed a large unilocular fluid collection with communication to the hip joint. Aspiration was positive for Mycobacterium senegalense. A combination of surgical and antibiotic therapy successfully treated this patient.
Mycobacterium senegalense is a rare cause of prosthetic joint infection. A combination of surgical and antimicrobial management is required for effective treatment.
一名 69 岁男性患者，在因严重骨关节炎行全髋关节置换术后 5 年，出现进行性、持续性、“烧灼样”右侧髋关节疼痛 3 个月，伴有右大腿饱满感。炎症标志物升高，影像学显示大的单房性积液与髋关节相通。抽吸物培养出 Senegal 分枝杆菌。手术和抗生素治疗联合成功治疗了这名患者。
Senegal 分枝杆菌是一种罕见的人工关节感染原因。有效的治疗需要手术和抗菌药物管理的联合。
