Reactivation of a tuberculous coxitis due to loosening of a total hip endoprosthesis |
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| Authors: | B Fink H -R Casser K -W Zilkens W Rüther |
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| Institution: | (1) Orthopädische Klinik und Poliklinik der Heinrich-Heine-Universität, Moorenstrasse 5, D-40225 Düsseldorf, Germany;(2) Department of Orthopaedic Surgery, University of Aachen, RWTH, D-52074 Aachen, Germany |
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| Abstract: | 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. |
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