Conservative treatment of early-onset tubercular periprosthetic joint infection following total knee arthroplasty

  • Stefano Congia Ortopedia e Traumatologia, Azienda Ospedaliera Brotzu, Cagliari, Italy
  • Gianfranco Puddu Ortopedia e Traumatologia, ASSL 6, Ospedale NS Bonaria, San Gavino Monreale, Italy
  • Giulio Sorrentino Ortopedia e Traumatologia, ASSL 6, Ospedale NS Bonaria, San Gavino Monreale, Italy
  • Giuseppe Dessì Ortopedia e Traumatologia, Azienda Ospedaliera Brotzu, Cagliari, Italy
  • Giuseppe Marongiu Dipartimento Scienze Chirurgiche, Clinica Ortopedica e Traumatologica, Università degli studi di Cagliari, Cagliari, Italy
Keywords: Mycobacterium tuberculosis, periprosthetic joint infection, total knee arthroplasty, revision surgery, extrapulmonary tuberculosis, musculoskeletal tuberculosis

Abstract

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.

Published
2020-02-29
How to Cite
1.
Congia S, Puddu G, Sorrentino G, Dessì G, Marongiu G (2020) Conservative treatment of early-onset tubercular periprosthetic joint infection following total knee arthroplasty. J Infect Dev Ctries 14:223-227. doi: 10.3855/jidc.12053
Section
Case Reports