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Case Reports
. 2025 Jun 5;15(2).
doi: 10.2106/JBJS.CC.25.00175. eCollection 2025 Apr 1.

Two-Stage Re-revision for Tuberculosis Affecting a Revision Total Hip Arthroplasty: A Case Report

Narayan Hulse  1
Affiliations
Case Reports

Two-Stage Re-revision for Tuberculosis Affecting a Revision Total Hip Arthroplasty: A Case Report

Narayan Hulse. JBJS Case Connect. .

Abstract

Case: A 68-year-old woman presented with pain in her left hip and a discharging sinus for 8 months. Ten months previously, she had undergone a revision total hip arthroplasty (THA) for aseptic loosening of a THA initially performed 30 years ago. This time, she underwent a 2-stage re-revision. Targeted next-generation sequencing identified the organism as Mycobacterium Tuberculosis, followed by antitubercular therapy for 9 months. After a 5-year follow-up, Harris Hip Score was 85%, and there was no evidence of infection or prosthetic loosening.

Conclusion: High index of suspicion and genomic sequencing may be required to identify the organism in tubercular periprosthetic infections.

Keywords: mycobacterium tuberculosis; periprosthetic joint infections; re-revision hip; revision total hip arthroplasty; total hip arthroplasty.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C633).

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