Delayed total hip arthroplasty infection with Mycobacterium Tuberculosis complex

Keywords:

Total hip arthroplasty infection ; Mycobacterium tuberculosis


Published online: Jan 08 2021

Hervé Poilvache, Maïté Van Cauter, Julien Coquay, Hector Rodriguez -Villalobos, Jean-Cyr Yombi, Olivier Cornu

From the Orthopaedic Surgery and Traumatology Department, Cliniques Universitaires Saint-Luc, Bruxelles, Belgium

Abstract

Total Hip Arthroplasty (THA) joint infection is an uncommon (0,3-1,7%) (20) but devastating complication after THA. While mostly caused by Gram-positive bacteria, with staphylococci and streptococci accounting for up to 76% of cases (21), orthopaedic surgeons are sometimes faced with atypical germs such as fungi or mycobacteria. We present a case of THA joint infection caused by Mycobacterium tuberculosis (MT) in a patient without a previous history of MT infection. A literature review was performed, and the treatment is discussed.