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Infected total hip replacement after PROSTALAC by Mycobacterium tuberculosis

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Author(s)
나우철노창인이지연김현아류성열
Keimyung Author(s)
Lee, Ji YeonRyu, Seong YeolKim, Hyun Ah
Department
Dept. of Internal Medicine (내과학)
Journal Title
대한내과학회 추계학술발표논문집
Issued Date
2017
Volume
2017
Issue
1
Abstract
The incidence rate of prosthetic joint infection after total hip replacement is 1.0~2.0%. But prosthetic joint infection due to Mycobacterium tuberculosis(
MTB) is rare and has been reported as case series. In a retrospective study, only 0.3% of prosthetic joint infection were due to MTB. But there is
no report of MTB infection at prosthetic joint after PROSTALAC implantation in Korea. A 54 year-old woman was admitted to the hospital with left
hip pain for 1 year. 5 years ago, she underwent left total hip replacement surgery. Prosthetic joint infection was developed 1 year after surgery. Culture
of pus grew methicillin sensitive Staphylococcus aureus. Implantation of prosthesis with antibiotic-loaded acrylic cement(PROSTALAC) on left hip
joint was done and antibiotics was administered. Left hip pain was aggravated 4 years after PROSTALAC implantation. So she was admitted to our hospital
and revision total hip arthroplasty was performed due to left hip PROSTLAC implantation site infection. Intraoperative tissue pathology revealed
granulomatous inflammation with caseous necrosis and MTB nested PCR was positive. Antituberculous therapy was started and clinical improvement
was observed after antituberculous medication.
Keimyung Author(s)(Kor)
류성열
김현아
이지연
Publisher
School of Medicine (의과대학)
Citation
나우철 et al. (2017). Infected total hip replacement after PROSTALAC by Mycobacterium tuberculosis. 대한내과학회 추계학술발표논문집, 2017(1), 377–377.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41306
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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