MYCOBACTERIUM TUBERCULOSIS HIP INFECTION MANAGEMENT: CASE REPORT AND LITERATURE REVIEW

Abstract

Infection of the hip by Mycobacterium tuberculosis is a rare yet serious condition that can result in significant pain and impaired physical function. This case report outlines the clinical manifestation and treatment of a 50-year-old patient experiencing hip discomfort and functional impotence. The patient's left lower extremity exhibited adduction and flexion of the thigh relative to the pelvis, resulting in severe pain and immobility. The hip infection has been attributed to M. tuberculosis following an extensive clinical evaluation and research. The medical recommendation was to undergo a twostage hip arthroplasty procedure. During the initial stage of treatment, the contaminated prosthesis was extracted, and the infectious outbreak was thoroughly sanitized. Subsequently, a cement spacer was introduced to maintain the space between the surfaces of the hip joint and prevent additional infection. Despite its challenging and invasive nature, the twostage hip arthroplasty procedure is an effective treatment choice for hip infections caused by Mycobacterium tuberculosis. The case report highlights the importance of promptly identifying and treating hip infections in patients caused by uncommon bacteria, such as Mycobacterium tuberculosis. Infection of the hip caused by M. tuberculosis is infrequent but perilous, necessitating prompt treatment. Two-stage hip arthroplasty is a beneficial therapeutic choice that should be considered for patients with suspected hip infections.