Haematogenous infection of a resurfacing hip replacement after transurethral resection of the prostate.
نویسندگان
چکیده
A 66-year-old man presented with an infected resurfacing hip replacement in the immediate post-operative period following an uneventful transurethral resection of the prostate. Prophylactic antibiotics had been administered on induction of anaesthesia. The hip prosthesis had been inserted seven years previously and had been hitherto asymptomatic. The hip was washed out and microbiological examination identified Enterococcus faecalis as the infecting micro-organism. Despite current recommendations, clinicians undertaking invasive procedures which can lead to bacteraemia in patients with prosthetic joint replacements should be aware of the risk of haematogenous seeding in such prostheses, which although low, has potentially disastrous consequences.
منابع مشابه
EXPERIENCE WITH BLADDER NECK INCISION TO RELIEVE BLADDER OUTLET OBSTRUCTION VERSUS TRANSURETHRAL RESECTION OF THE PROSTATE IN SHIRAZ
TUR is cited as the treatment of choice for relief of bladder outflow tract obstruction in the male, but bladder neck incision (BNI) is an acceptable alternative when the gland is smalI.1,2,3 Sixty cases of BNIfTUR have been reviewed (BNI=35, TUR=25) from March, 1986 to April, 1988. BNI was done when the glands were less than 30 gr , and when there was no clinical suspicion of malignancy t...
متن کاملOutcomes of surgery among the Medicare aged: Surgical volume and mortality
We examined the relation between surgical volume and mortality, within 60 days of surgery, for eight procedures on aged Medicare beneficiaries. Logistic regression revealed that high surgical volume was significantly associated with lower mortality for resection of the intestine, coronary artery bypass, transurethral resection of the prostate (TURP), and hip arthroplasty (excluding total hip re...
متن کاملComparing Sexual Dysfunction Following Open Prostatectomy and Transurethral Resection of the Prostate
Background and purpose: Enlarged prostate places pressure on the urethra and causes urinary problems, the treatment of which is medication and surgery. The effect of transurethral resection of the prostate (TURP) on sexual function is still controversial in patients with benign prostate enlargement. This study aimed at comparing sexual function in patients with open prostatectomy and TURP befor...
متن کاملSuccessful Treatment of Obstructive Oligospermia/Azoospermia Due to Mullerian Duct Cyst by Transurethral Resection:A Case Report
a:1:{i:0;s:867:"Cystic lesions in midline of prostate are uncommon and considered as congenital disorders. Here we report a 33- year- old male who presented with either azoospermia or decreased ejaculate volume leading to infertility and for whom performing Transrectal ultrasonography had a critical role in diagnosis. The obtained images revealed a congenital cyst of the prostate gland just in ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 91 6 شماره
صفحات -
تاریخ انتشار 2009