Tuberculous sacroiliitis. A case report and review of the literature.
BACKGROUND
Infections of the musculoskeletal system are tuberculous in nature in 1-5% of cases. The sacroiliac joint is involved in 3-9.7%. We describe the case of a 32-year-old man with tuberculous sacroiliitis presented as a growing mass on the lateral aspect of his right proximal and mid-thigh. Open biopsy, histology, cultures and PCR established the diagnosis of tuberculosis.


RESULTS
After surgical drainage of the abscess, the patient was administrated a triple antibiotic regimen for 12 months. Seven years postoperatively, the patient is disease-free with no functional limitation. This case report highlights the importance of continued awareness for early detection and treatment of a tuberculous sacroiliac joint infection.
Papagelopoulos
Panayiotis J
PJ
First Department of Orthopaedics, Athens University Medical School, 4 Christovassili Street, 15451 Neo Psychikon Athens, Greece. pjp@hol.gr
Papadopoulos
Elias Ch
ECh
Mavrogenis
Andreas F
AF
Themistocleous
George S
GS
Korres
Demetrios S
DS
Soucacos
Panayotis N
PN
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D005269:Femur / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D008297:Male; D011877:Radionuclide Imaging; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology; D014394:Tuberculosis, Osteoarticular / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology*
D000995:Antitubercular Agents