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KMID : 0361620150500020154
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Journal of the Korean Orthopaedic Association
2015 Volume.50 No. 2 p.154 ~ p.159
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Mycobacterium tuberculosis Infection in the Shoulder after Reverse Total Shoulder Arthroplasty
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Kim Jung-Han
Kim Joo-Yong
Sagong Seung-Yeob
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Abstract
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Reverse total shoulder arthroplasty has recently received attention for treatment of rotator cuff tear arthropathy. However, many complications of reverse total shoulder arthroplasty have also been reported, and infection is a major complication. We are reporting on a case of an approximately 77-year-old female patient who underwent reverse total shoulder arthroplasty with surgical site infection caused by Mycobacterium tuberculosis. The patient had undergone irrigation and debridement two times due to infectious signs at 8 months after a reverse total shoulder arthroplasty. At the last debridement operation, we performed AFB staining, culture for Mycobacterium tuberculosis and biopsy. Mycobacterium tuberculosis was cultured and we did not hesitate to administer 4 regimen therapy for tuberculosis. The outpatient follow-up result was satisfactory without recurrence. At the time of the latest follow-up, the degree of pain and function were good.
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KEYWORD
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reverse total shoulder arthroplasty, mycobacterium tuberculosis, infection, sinus tract
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