Total Hip Arthroplasty Loosening Due to Mycobacterium Tuberculosis: A Case Report and Review of the Literature
Context: Prosthetic joint infection due to Mycobacterium tuberculosis with no previous history of pulmonary or extra pulmonary tuberculosis is an extremely rare complication. Aims To report the case of a patient with tuberculous mycobacterial prosthetic hip infection, 14 years after surgery for p...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Joint Implant Surgery & Research Foundation
2017-04-01
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| Series: | Reconstructive Review |
| Subjects: | |
| Online Access: | https://reconstructivereview.org/ojs/index.php/rr/article/view/160 |
| _version_ | 1819241200182362112 |
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| author | Anis Tebourbi Ahmed Elloumi Khaled Hadhri Mohamed Ben Salah Mouadh Nefiss Ramzi Bouzidi Mondher Kooli |
| author_facet | Anis Tebourbi Ahmed Elloumi Khaled Hadhri Mohamed Ben Salah Mouadh Nefiss Ramzi Bouzidi Mondher Kooli |
| author_sort | Anis Tebourbi |
| collection | DOAJ |
| description | Context:
Prosthetic joint infection due to Mycobacterium tuberculosis with no previous history of pulmonary or extra pulmonary tuberculosis is an extremely rare complication.
Aims
To report the case of a patient with tuberculous mycobacterial prosthetic hip infection, 14 years after surgery for post traumatic osteoarthritis, with no previous history of tuberculosis.
Methods
A 46-year-old male presented an acetabular loosening of a cemented total hip arthroplasty with subnormal biologic parameters. A one stage revision surgery was planned. Intraoperative findings suggested mycobacterial tuberculous infection with presence of periacetabular yellowish rice-shaped granules.
Results
A one-stage prosthesis exchange was performed; Culture on Löwenstein-Jensen medium grew MTB days after inoculation and histological examination confirmed tuberculous infection. Patient was treated by antituberculous agents for 12 months with optimal clinical and biological response and no prosthetic loosening signs at eighteen months follow up.
Conclusions
Total hip arthroplasty loosening due to mycobacterium tuberculosis is a rare entity, which should be evoked even when no inflammatory signs are shown. Discovery of yellowish rice-shaped granules is an indicator to investigate for tuberculosis. Management of prosthetic joint infection due to M.tuberculosis must involve both medical and surgical approach. |
| first_indexed | 2024-12-23T14:20:07Z |
| format | Article |
| id | doaj.art-6077b9c0633743e8bcc1576422fdf02c |
| institution | Directory Open Access Journal |
| issn | 2331-2262 2331-2270 |
| language | English |
| last_indexed | 2024-12-23T14:20:07Z |
| publishDate | 2017-04-01 |
| publisher | Joint Implant Surgery & Research Foundation |
| record_format | Article |
| series | Reconstructive Review |
| spelling | doaj.art-6077b9c0633743e8bcc1576422fdf02c2022-12-21T17:43:49ZengJoint Implant Surgery & Research FoundationReconstructive Review2331-22622331-22702017-04-017110.15438/rr.7.1.160149Total Hip Arthroplasty Loosening Due to Mycobacterium Tuberculosis: A Case Report and Review of the LiteratureAnis Tebourbi0Ahmed Elloumi1Khaled Hadhri2Mohamed Ben Salah3Mouadh Nefiss4Ramzi Bouzidi5Mondher Kooli6Department of Orthopedics and Traumatology Mongi Slim Hospital La Marsa TunisiaDepartment of Orthopedics and Traumatology Mongi Slim Hospital La Marsa TunisiaDepartment of Orthopedics and Traumatology Charles Nicolle Hospital Boulevard 9 Avril 1006 Tunis TunisiaDepartment of Orthopedics and Traumatology Charles Nicolle Hospital Boulevard 9 Avril 1006 Tunis TunisiaDepartment of Orthopedics and Traumatology Mongi Slim Hospital La Marsa TunisiaDepartment of Orthopedics and Traumatology Mongi Slim Hospital La Marsa TunisiaDepartment of Orthopedics and Traumatology Charles Nicolle Hospital Boulevard 9 Avril 1006 Tunis TunisiaContext: Prosthetic joint infection due to Mycobacterium tuberculosis with no previous history of pulmonary or extra pulmonary tuberculosis is an extremely rare complication. Aims To report the case of a patient with tuberculous mycobacterial prosthetic hip infection, 14 years after surgery for post traumatic osteoarthritis, with no previous history of tuberculosis. Methods A 46-year-old male presented an acetabular loosening of a cemented total hip arthroplasty with subnormal biologic parameters. A one stage revision surgery was planned. Intraoperative findings suggested mycobacterial tuberculous infection with presence of periacetabular yellowish rice-shaped granules. Results A one-stage prosthesis exchange was performed; Culture on Löwenstein-Jensen medium grew MTB days after inoculation and histological examination confirmed tuberculous infection. Patient was treated by antituberculous agents for 12 months with optimal clinical and biological response and no prosthetic loosening signs at eighteen months follow up. Conclusions Total hip arthroplasty loosening due to mycobacterium tuberculosis is a rare entity, which should be evoked even when no inflammatory signs are shown. Discovery of yellowish rice-shaped granules is an indicator to investigate for tuberculosis. Management of prosthetic joint infection due to M.tuberculosis must involve both medical and surgical approach.https://reconstructivereview.org/ojs/index.php/rr/article/view/160Total Hip ReplacementProsthesis LooseningMycobacterium tuberculosis |
| spellingShingle | Anis Tebourbi Ahmed Elloumi Khaled Hadhri Mohamed Ben Salah Mouadh Nefiss Ramzi Bouzidi Mondher Kooli Total Hip Arthroplasty Loosening Due to Mycobacterium Tuberculosis: A Case Report and Review of the Literature Reconstructive Review Total Hip Replacement Prosthesis Loosening Mycobacterium tuberculosis |
| title | Total Hip Arthroplasty Loosening Due to Mycobacterium Tuberculosis: A Case Report and Review of the Literature |
| title_full | Total Hip Arthroplasty Loosening Due to Mycobacterium Tuberculosis: A Case Report and Review of the Literature |
| title_fullStr | Total Hip Arthroplasty Loosening Due to Mycobacterium Tuberculosis: A Case Report and Review of the Literature |
| title_full_unstemmed | Total Hip Arthroplasty Loosening Due to Mycobacterium Tuberculosis: A Case Report and Review of the Literature |
| title_short | Total Hip Arthroplasty Loosening Due to Mycobacterium Tuberculosis: A Case Report and Review of the Literature |
| title_sort | total hip arthroplasty loosening due to mycobacterium tuberculosis a case report and review of the literature |
| topic | Total Hip Replacement Prosthesis Loosening Mycobacterium tuberculosis |
| url | https://reconstructivereview.org/ojs/index.php/rr/article/view/160 |
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