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Dizde periprostetik tüberküloz enfeksiyonunda yalnızca antitüberküloz ilaç tedavisi: Olgu sunumu

Yıl 2013, Cilt: 47 Sayı: 6, 440 - 443, 07.02.2014

Suda Tekin Koruk Serkan Sipahioglu Celal Calisir

Öz

Sunumda, aktif tüberküloz enfeksiyonu varlığında osteoartrit düşünülerek total diz protezi uygulanan ve ardından protez çevresinde tüberküloz enfeksiyonu saptanan 55 yaşında erkek hastanın tedavi süreci değerlendirildi. Hasta, protez korunup cerrahi girişim yapılmaksızın antitüberküloz ilaçlar ile tedavi edildi ve on sekiz aylık takipte nüks görülmedi. Protez öncesi veya protez uygulandıktan sonra gelişen eklem enfeksiyonu varlığında ayırıcı tanıda tüberküloz da düşünülmelidir. Protezde gevşeme bulguları gelişmeden tanı konulursa uzun dönem oral anti-tüberküloz ilaç tedavisi ile enfeksiyonun kontrol edilebilir.

Anahtar Kelimeler

Antitüberküloz ilaç; diz eklemi; periprostetik enfeksiyon; tüberküloz artrit.

Kaynakça

  • Fitzgerald DW, Sterlig TR, Haas DW. Mycobacterium tuberculosis. In: Mandell GL, Bennett JE, Dolin R (eds). Principles and Practice of infectious diseases. 7th ed. Philadelphia: Elsevier Churchill-Livingstone; 2010. p. 3129-63.
  • Marmor M, Parnes N, Dekel S. Tuberculosis infection complicating total knee arthroplasty: report of 3 cases and review of the literature. J Arthroplasty 2004;19:397-400.
  • Besser MI. Total knee replacement in unsuspected tuberculosis of the joint. Br Med J 1980;280:1434.
  • Eskola A, Santavirta S, Konttinen YT, Tallroth K, Lindholm ST. Arthroplasty for old tuberculosis of the knee. J Bone Joint Surg Br 1988;70:767-9.
  • Neogi DS. Kumar A, Yadav CS, Singh S. Delayed periprosthetic tuberculosis after total knee replacement: is conservative treatment possible? Acta Orthop Belg 2009;75:136-40.
  • Wray CC, Roy S. Arthroplasty in tuberculosis of the knee. Two cases of missed diagnosis. Acta Orthop Scand 1987;58: 296Global tuberculosis control - epidemiology, strategy, financing WHO Report 2009 [Internet] (cited 2010 Jan 15). Available from: http://www.who.int/mediacentre/factsheets/ fs104/en/index.html.
  • Carrol ED, Slark JE, Cant AJ. Non-pulmonary tuberculosis. Pediatr Respir Rev 2001;2:220-6.
  • The 2009 Report on Fight Against Tuberculosis in Turkey. [Internet] Ankara: Turkish Republic Ministry of Health, Department of Fight Against Tuberculosis [cited 2010 Jan 15]. Available from: http://www.ehsm.gov.tr/Sub/verem_ savas_dispanseri/files/dokumanlar/turkiyede-verem-savasi2009-raporu.pdf
  • Lee AS, Campbell JA, Hoffman EB. Tuberculosis of the knee in children. J Bone Joint Surg 1995;77:313-8.
  • Wolfgang GL. Tuberculosis joint infection following total knee arthroplasty. Clin Orthop Relat Res 1985;(201):162-6. Watts HG, Lifeso RM. Tuberculosis of bones and joints. J Bone Joint Surg Am 1996;78:288-98.
  • Hsu SH, Sun JS, Chen IH, Liu TK. Reappraisal of skeletal tuberculosis: role of radiological imaging. J Formos Med Assoc 1993;92:34-41.
  • Malaviya AN, Kotwal PP. Arthritis associated with tuberculosis. Best Pract Res Clin Rheumatol 2003; 17:319-43.
  • Johnson, R., K.L. Barnes, and R. Owen, Reactivation of tuberculosis after total hip replacement. J Bone Joint Surg Br 1979;61:148-50.
  • Aguirre M, Bago J, Martin N. Tuberculosis of the knee. Surgical or conservative treatment? Acta Orthop Belg 1989; 55:22Berbari EF, Hanssen AD, Duffy MC, Steckelberg JM, Osmon DR. Prosthetic joint infection due to Mycobacterium tuberculosis: a case series and review of the literature. Am J Orthop (Belle Mead NJ) 1998;27:219-27.
  • Hamzao¤lu A. Granulomatous infections of the spine. Spine State of the Art Reviews 1999;13:45-78.
  • Lee CL,Wei YS, Ho YJ, Lee CH. Postoperative Mycobacterium tuberculosis infection after total knee arthroplasty. Knee 2009; 16: 87-9.
  • Bryan WJ, Doherty JH Jr, Sculco TP. Tuberculosis in a rheumatoid patient. A case report. Clin Orthop Relat Res 1982;(171):206-8.
  • Zeiger LS, Watters W, Sherk H. Scintigraphic detection of prosthetic joint and soft tissue sepsis secondary to tuberculosis. Clin Nucl Med 1984;9:638-9.
  • Tokumoto JI, Follansbee SE, Jacobs RA. Prosthetic joint infections due to Mycobacterium tuberculosis: report of three cases. Clin Infect Dis 1995;21:134-6.
  • Lusk RH, Wienke EC, Milligan TW, Albus TE. Tuberculous and foreign-body granulomatous reactions involving a total knee prosthesis. Arthritis Rheum 1995;38:1325-7.
  • Spinner RJ, Sexton DJ, Goldner RD, Levin LS. Periprosthetic infection due to Mycobacterium tuberculosis in patients with no prior history of tuberculosis. J Arthroplasty 1996;11:217-22. Khater FJ, Samnani IQ, Mehta JB, Moorman JP, Myers JW. Prosthetic joint infection by Mycobacterium tuberculosis: an unusual case report with literature review. South Med J 2007;100:6-69.

Periprosthetic tuberculosis of the knee joint treated with antituberculosis drugs: a case report

Yıl 2013, Cilt: 47 Sayı: 6, 440 - 443, 07.02.2014

Suda Tekin Koruk Serkan Sipahioglu Celal Calisir

Öz

We report a 55-year old man with periprosthetic tuberculosis infection following a total knee arthroplasty surgery performed during an active tuberculosis infection. The patient was conservatively treated with anti-tuberculosis drugs and retention of prosthesis. There was no recurrence during an 18-month follow-up period. Tuberculosis arthritis should be considered in the differential diagnosis in patients with osteoarthritis requiring replacement surgery. Conservative treatment with antituberculosis drugs may be an option in periprosthetic tuberculosis infections without loosening.

Anahtar Kelimeler

Antituberculosis drugs knee joint tuberculosis arthritis periprosthetic infection

Kaynakça

  • Fitzgerald DW, Sterlig TR, Haas DW. Mycobacterium tuberculosis. In: Mandell GL, Bennett JE, Dolin R (eds). Principles and Practice of infectious diseases. 7th ed. Philadelphia: Elsevier Churchill-Livingstone; 2010. p. 3129-63.
  • Marmor M, Parnes N, Dekel S. Tuberculosis infection complicating total knee arthroplasty: report of 3 cases and review of the literature. J Arthroplasty 2004;19:397-400.
  • Besser MI. Total knee replacement in unsuspected tuberculosis of the joint. Br Med J 1980;280:1434.
  • Eskola A, Santavirta S, Konttinen YT, Tallroth K, Lindholm ST. Arthroplasty for old tuberculosis of the knee. J Bone Joint Surg Br 1988;70:767-9.
  • Neogi DS. Kumar A, Yadav CS, Singh S. Delayed periprosthetic tuberculosis after total knee replacement: is conservative treatment possible? Acta Orthop Belg 2009;75:136-40.
  • Wray CC, Roy S. Arthroplasty in tuberculosis of the knee. Two cases of missed diagnosis. Acta Orthop Scand 1987;58: 296Global tuberculosis control - epidemiology, strategy, financing WHO Report 2009 [Internet] (cited 2010 Jan 15). Available from: http://www.who.int/mediacentre/factsheets/ fs104/en/index.html.
  • Carrol ED, Slark JE, Cant AJ. Non-pulmonary tuberculosis. Pediatr Respir Rev 2001;2:220-6.
  • The 2009 Report on Fight Against Tuberculosis in Turkey. [Internet] Ankara: Turkish Republic Ministry of Health, Department of Fight Against Tuberculosis [cited 2010 Jan 15]. Available from: http://www.ehsm.gov.tr/Sub/verem_ savas_dispanseri/files/dokumanlar/turkiyede-verem-savasi2009-raporu.pdf
  • Lee AS, Campbell JA, Hoffman EB. Tuberculosis of the knee in children. J Bone Joint Surg 1995;77:313-8.
  • Wolfgang GL. Tuberculosis joint infection following total knee arthroplasty. Clin Orthop Relat Res 1985;(201):162-6. Watts HG, Lifeso RM. Tuberculosis of bones and joints. J Bone Joint Surg Am 1996;78:288-98.
  • Hsu SH, Sun JS, Chen IH, Liu TK. Reappraisal of skeletal tuberculosis: role of radiological imaging. J Formos Med Assoc 1993;92:34-41.
  • Malaviya AN, Kotwal PP. Arthritis associated with tuberculosis. Best Pract Res Clin Rheumatol 2003; 17:319-43.
  • Johnson, R., K.L. Barnes, and R. Owen, Reactivation of tuberculosis after total hip replacement. J Bone Joint Surg Br 1979;61:148-50.
  • Aguirre M, Bago J, Martin N. Tuberculosis of the knee. Surgical or conservative treatment? Acta Orthop Belg 1989; 55:22Berbari EF, Hanssen AD, Duffy MC, Steckelberg JM, Osmon DR. Prosthetic joint infection due to Mycobacterium tuberculosis: a case series and review of the literature. Am J Orthop (Belle Mead NJ) 1998;27:219-27.
  • Hamzao¤lu A. Granulomatous infections of the spine. Spine State of the Art Reviews 1999;13:45-78.
  • Lee CL,Wei YS, Ho YJ, Lee CH. Postoperative Mycobacterium tuberculosis infection after total knee arthroplasty. Knee 2009; 16: 87-9.
  • Bryan WJ, Doherty JH Jr, Sculco TP. Tuberculosis in a rheumatoid patient. A case report. Clin Orthop Relat Res 1982;(171):206-8.
  • Zeiger LS, Watters W, Sherk H. Scintigraphic detection of prosthetic joint and soft tissue sepsis secondary to tuberculosis. Clin Nucl Med 1984;9:638-9.
  • Tokumoto JI, Follansbee SE, Jacobs RA. Prosthetic joint infections due to Mycobacterium tuberculosis: report of three cases. Clin Infect Dis 1995;21:134-6.
  • Lusk RH, Wienke EC, Milligan TW, Albus TE. Tuberculous and foreign-body granulomatous reactions involving a total knee prosthesis. Arthritis Rheum 1995;38:1325-7.
  • Spinner RJ, Sexton DJ, Goldner RD, Levin LS. Periprosthetic infection due to Mycobacterium tuberculosis in patients with no prior history of tuberculosis. J Arthroplasty 1996;11:217-22. Khater FJ, Samnani IQ, Mehta JB, Moorman JP, Myers JW. Prosthetic joint infection by Mycobacterium tuberculosis: an unusual case report with literature review. South Med J 2007;100:6-69.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Olgu Sunumu
Yazarlar

Suda Tekin Koruk Bu kişi benim

Serkan Sipahioglu Bu kişi benim

Celal Calisir Bu kişi benim

Yayımlanma Tarihi 7 Şubat 2014
Yayımlandığı Sayı Yıl 2013 Cilt: 47 Sayı: 6

Kaynak Göster

APA Tekin Koruk, S., Sipahioglu, S., & Calisir, C. (2014). Periprosthetic tuberculosis of the knee joint treated with antituberculosis drugs: a case report. Acta Orthopaedica Et Traumatologica Turcica, 47(6), 440-443.
AMA Tekin Koruk S, Sipahioglu S, Calisir C. Periprosthetic tuberculosis of the knee joint treated with antituberculosis drugs: a case report. Acta Orthopaedica et Traumatologica Turcica. Şubat 2014;47(6):440-443.
Chicago Tekin Koruk, Suda, Serkan Sipahioglu, ve Celal Calisir. “Periprosthetic Tuberculosis of the Knee Joint Treated With Antituberculosis Drugs: A Case Report”. Acta Orthopaedica Et Traumatologica Turcica 47, sy. 6 (Şubat 2014): 440-43.
EndNote Tekin Koruk S, Sipahioglu S, Calisir C (01 Şubat 2014) Periprosthetic tuberculosis of the knee joint treated with antituberculosis drugs: a case report. Acta Orthopaedica et Traumatologica Turcica 47 6 440–443.
IEEE S. Tekin Koruk, S. Sipahioglu, ve C. Calisir, “Periprosthetic tuberculosis of the knee joint treated with antituberculosis drugs: a case report”, Acta Orthopaedica et Traumatologica Turcica, c. 47, sy. 6, ss. 440–443, 2014.
ISNAD Tekin Koruk, Suda vd. “Periprosthetic Tuberculosis of the Knee Joint Treated With Antituberculosis Drugs: A Case Report”. Acta Orthopaedica et Traumatologica Turcica 47/6 (Şubat 2014), 440-443.
JAMA Tekin Koruk S, Sipahioglu S, Calisir C. Periprosthetic tuberculosis of the knee joint treated with antituberculosis drugs: a case report. Acta Orthopaedica et Traumatologica Turcica. 2014;47:440–443.
MLA Tekin Koruk, Suda vd. “Periprosthetic Tuberculosis of the Knee Joint Treated With Antituberculosis Drugs: A Case Report”. Acta Orthopaedica Et Traumatologica Turcica, c. 47, sy. 6, 2014, ss. 440-3.
Vancouver Tekin Koruk S, Sipahioglu S, Calisir C. Periprosthetic tuberculosis of the knee joint treated with antituberculosis drugs: a case report. Acta Orthopaedica et Traumatologica Turcica. 2014;47(6):440-3.