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Archives of Orthopaedic and Trauma Surgery

, Volume 114, Issue 5, pp 298–301 | Cite as

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

  • B. Fink
  • H. -R. Casser
  • K. -W. Zilkens
  • W. Rüther
Current Problem Case

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.

Keywords

Public Health Soft Tissue Tuberculosis Mycobacterium Tuberculosis Mycobacterium 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • B. Fink
    • 1
  • H. -R. Casser
    • 2
  • K. -W. Zilkens
    • 2
  • W. Rüther
    • 1
  1. 1.Orthopädische Klinik und Poliklinik der Heinrich-Heine-UniversitätDüsseldorfGermany
  2. 2.Department of Orthopaedic SurgeryUniversity of Aachen, RWTHAachenGermany

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