Fink B, Casser H R, Zilkens K W, Rüther W
Orthopädische Klinik und Poliklinik, Heinrich-Heine-Universität, Düsseldorf, Germany.
Arch Orthop Trauma Surg. 1995;114(5):298-301. doi: 10.1007/BF00452092.
A 45-year-old woman who suffered from juvenile tuberculous coxitis at the age of 4 is presented. Her hip joint replacement lasted for 18 years and then needed replacing. Intraoperatively removed caseous soft tissue and an opalescent secretion histologically resembled a tuberculous focus, and bacteriological culture grew a Mycobacterium tuberculosis strain. Four months after the replacement, the patient suffered from a tuberculosis-induced septic loosening of the newly replaced hip joint endoprosthesis. The tuberculosis relapse was probably due to aseptic loosening of the first hip joint endoprosthesis.
