Conservative treatment of early-onset tubercular periprosthetic joint infection following total knee arthroplasty
Author(s) -
Stefano Congia,
Gianfranco Puddu,
G. Sorrentino,
Giuseppe Dessì,
Giuseppe Marongiu
Publication year - 2020
Publication title -
the journal of infection in developing countries
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.322
H-Index - 49
eISSN - 2036-6590
pISSN - 1972-2680
DOI - 10.3855/jidc.12053
Subject(s) - periprosthetic , medicine , tuberculosis , total knee arthroplasty , mycobacterium tuberculosis , arthroplasty , conservative treatment , knee joint , surgery , pathology
Tubercular periprosthetic joint infections (PJI) are uncommon diseases in developed countries. Therefore, the systematic screening for Mycobacterium tuberculosis (TB) is not currently recommended before a total knee arthroplasty procedure. However, due to the new human migration flows and higher mycobacterial infection rates, tuberculosis could represent a rare but potential cause for PJI. Controversies about tubercular PJI diagnosis, management and treatment still exist due to a lack of clinical evidence. In the current report we present the case of an early-onset M. tuberculosis PJI of the knee and its successful conservative treatment with two years follow-up.
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