This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hugate, R.
Right arrow Articles by Pellegrini, V. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hugate, R., Jr.
Right arrow Articles by Pellegrini, V. D., Jr.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery (American) 84:101-105 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.

Case Report

Reactivation of Ancient Tuberculous Arthritis of the Hip Following Total Hip Arthroplasty

A Case Report

Ronald Hugate, Jr., MD and Vincent D. Pellegrini, Jr., MD

Investigation performed at The Milton S. Hershey Medical Center, The Pennsylvania State University College of Medicine, Hershey, Pennsylvania

Ronald Hugate Jr., MD
Vincent D. Pellegrini Jr., MD
Department of Orthopaedics and Rehabilitation, The Milton S. Hershey Medical Center, The Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033. E-mail address for V.D. Pellegrini Jr.: vpellegrini@psu.edu

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


   Introduction
 
The literature on the treatment of ancient tuberculous arthritis with late total joint replacement is sparse, and there is no clearly recommended plan of care. We report the case of a patient who had reactivation of Mycobacterium tuberculosis following total hip arthroplasty after sixty-four years of quiescence. Several key points regarding clinical strategies are explored, including assessment of the need for chemoprophylaxis, the importance of long periods of quiescence of active tuberculosis, and the options for treating tuberculous infection at the site of a joint replacement.


   Case Report
 
The patient was a seventy-one-year-old man with a history of isolated tuberculous arthritis of the left hip at the age of three years. Initially, he had been treated with a hip-spica cast, followed by an arthrodesis in 1932 at the age of five years. He received no chemotherapy at that time as antituberculous drugs were not available. The hip remained functional and pain-free for . . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 J Bone Joint Surg BrHome page
M. Kaya, S. Nagoya, T. Yamashita, N. Niiro, and M. Fujita
Peri-prosthetic tuberculous infection of the hip in a patient with no previous history of tuberculosis
J Bone Joint Surg Br, March 1, 2006; 88-B(3): 394 - 395.
[Abstract] [Full Text] [PDF]