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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 3, 394-395.
doi: 10.1302/0301-620X.88B3.17006  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Peri-prosthetic tuberculous infection of the hip in a patient with no previous history of tuberculosis

M. Kaya, MD, PhD, Instructor1; S. Nagoya, MD, PhD, Associate Professor1; T. Yamashita, MD, PhD, Professor and Director1; N. Niiro, MD, PhD, Orthopaedic Surgeon2; and M. Fujita, MD, PhD, Orthopaedic Surgeon2

1 Department of Orthopaedic Surgery, Sapporo Medical University, School of Medicine, S-1, W-16 Chuo-ku, Sapporo 060-8543, Hokkaido, Japan.
2 Division of Orthopaedic Surgery, Sapporo Minami National Hospital, Shirakawa 1814, Minami-ku, Sapporo 961-2276, Hokkaido, Japan.

Correspondence should be sent to Dr M. Kaya; e-mail: mkaya{at}sapmed.acjp

We report a case of peri-prosthetic tuberculous infection nine years after total hip arthroplasty in a patient with no history of tuberculosis before the procedure. Further investigation revealed active pulmonary tuberculosis which was thought to have spread haematogeneously to the arthroplasty. The infection did not respond to standard antituberculous drugs. Removal of the prosthesis and insertion of an antibiotic spacer were required.




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S. Nagoya, M. Kaya, M. Sasaki, K. Tateda, and T. Yamashita
Diagnosis of peri-prosthetic infection at the hip using triple-phase bone scintigraphy
J Bone Joint Surg Br, February 1, 2008; 90-B(2): 140 - 144.
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(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General