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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(S 02): e255-e258
DOI: 10.1055/s-0044-1787547
Relato de Caso

One-stage Revision in a Brucella Prosthetic Hip Joint Infection with Late Presentation: A Case Report

Article in several languages: português | English
Sandeep Gupta
1   Departamento de Ortopedia, Fortis Hospital, Mohali, Punjab, Índia
,
Anmol Sharma 
1   Departamento de Ortopedia, Fortis Hospital, Mohali, Punjab, Índia
,
Jagseer Singh 
1   Departamento de Ortopedia, Fortis Hospital, Mohali, Punjab, Índia
,
Jatin Aggarwal 
1   Departamento de Ortopedia, Fortis Hospital, Mohali, Punjab, Índia
› Author Affiliations Financial Support The authors declare that they have receive no funding from agencies in the public, provate, or not-for-profit sectors for the conduction of the present study.
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Abstract

A 69-year-old female patient, who had been operated on 20 years ago (unipolar hip prosthesis), presented with a complaint of pain in the thigh and a limp with onset 1 year before. An X ray revealed stem subsidence and varus collapse. One-stage revision hip replacement was performed in view of poor cardiac status, and Brucella melitensis grew in the tissue culture. Oral doxycycline and rifampicin were administered for six weeks. The patient remained asymptomatic until the last follow up. Prosthetic joint infection by B. melitensis should be considered in a late onset, insidious presentation in an endemic country. One exchange arthroplasty with the administration of systemic antibiotics resulted in a good outcome.

Keywords

arthroplasty, replacement, hip - bone cements - Brucella - hip - prosthesis-related infections

Statement of Informed Consent

The patient was informed that data concerning the case would be submitted for publication in a medical journal in a confidential manner, and the patient gave written consent for it.


Work carried out at the Orthopedics Department, Fortis Hospital, Mohali, Punjab, India.




Publication History

Received: 08 February 2022

Accepted: 18 January 2023

Article published online:
27 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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