Barfod, Kristoffer1; Broeng, Leif2; Meyer, Christian Niels3
1 Department of Orthopaedic Surgery, Amager and Hvidovre Hospital, The Capital Region of Denmark2 Ortopædi og Intern Medicin3 unknown
We describe a case concerning tuberculous coxitis 55 years after primary tuberculosis. A 76-year old man developed hip pain, weight loss and a gluteal tumor. After three months he was diagnosed with tuberculous coxitis by ultrasound assisted aspiration from the joint. Anti-tuberculous chemotherapy was commenced. After three months a Girdlestone operation was performed and seven months later a total hip replacement was performed. Anti-tuberculous chemotherapy was continued for a total of 12 months. Early ultrasound assisted aspiration from the joint is recommended to shorten diagnostic delay and optimise treatment of tuberculous coxitis.
Ugeskrift for Laeger, 2011, Vol 173, Issue 23, p. 1653-4