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Reactivation of a tuberculous coxitis due to loosening of a total hip endoprosthesis

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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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Fink, B., Casser, H.-., Zilkens, K.-. et al. Reactivation of a tuberculous coxitis due to loosening of a total hip endoprosthesis. Arch Orthop Trauma Surg 114, 298–301 (1995). https://doi.org/10.1007/BF00452092

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Keywords

  • Public Health
  • Soft Tissue
  • Tuberculosis
  • Mycobacterium Tuberculosis
  • Mycobacterium