امرأة عمرها ٧١ سنة بعد استبدال الورك قبل سنة، عندها ألم متزايد في الورك منذ شهر، واحمرار بسيط حول الندبة، وحرارة ٣٧٫٩، ومؤشرات التهاب مرتفعة. ما الذي يجب التفكير فيه؟

A 71-year-old woman with a hip replacement a year ago has increasing hip pain for a month, mild redness around the scar, T 37.9 °C and raised inflammatory markers. What must be considered?

1. Prosthetic joint infection
2. Normal wear after the first year
3. Sciatica from the back
4. Muscle pain from walking

Answer: A) Prosthetic joint infection. Increasing pain with raised inflammation and fever after joint replacement suggests prosthetic infection, needing aspiration, culture and surgical assessment.