REACTIVATION OF A TUBERCULOUS COXITIS DUE TO LOOSENING OF A TOTAL HIPENDOPROSTHESIS

A 45-year-old woman who suffered from juvenile tuberculous coxitis at the age of 4 is presented. Her hip joint replacement lasted for 18 yea rs and then needed replacing. Intraoperatively removed caseous soft ti ssue and an opalescent secretion histologically resembled a tuberculou s focus, and bacteriological culture grew a Mycobacterium tuberculosis strain. Four months after the replacement, the patient suffered from a tuberculosis-induced septic loosening of the newly replaced hip join t endoprosthesis. The tuberculosis relapse was probably due to aseptic loosening of the first hip joint endoprosthesis.