HIP International. 2001;11(3):161-164.

Atypical Infection of a Total Hip Endoprosthesis Due to Mycobacterium Fortuitum Case Report of An Infection of a Total Hip Endoprosthesis with Mycobacterium Fortuitum

Bachfischer K, Waizenhoefer A, Gerdesmeyer L, Gradinger R.
Hip

Only a few cases of infection of an endoprosthesis with mycobacterium fortuitum have been reported, each resulting in functionally unsatisfactory outcomes. We performed a stem revision cementless total hip endoprosthesis six months after primary implantation after the appearance of the typical radiological and clinical signs of aseptic loosening.

Histological and molecular-biological analysis of the intra-operative specimens confirmed an infection with Mycobacterium fortuitum.

Following antimicrobial therapy, the patient is painfree and fully weight-bearing seven months after replacement.

If aseptic loosening of an endoprosthesis is suspected, an infection with Mycobacterium fortuitum should be considered.


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