Tuberculous sacro-ileitis: two cases and radiological findings.
Infective sacro-ileitis is due to common bacteria, 25% being tuberculosis and 10% brucellosis. Slow progression characterizes joint tuberculosis, an uncommon variant of this disease. The onset is usually insidious, and early diagnosis requires a high index of clinical suspicion. We report two cases with tuberculous sacro-ileitis which initially mimicked brucellosis infiltration. Diagnosis of tuberculosis of the sacroiliac joint was established by fine-needle aspiration of joint and radiological imaging methods such as computerized tomography, magnetic resonance and three-phase bone scan. The current diagnosis and treatment of this condition is discussed based on these cases and a literature review.
Sirmatel
Ocal
O
Radiodiagnostic Depart.-Sanliurfa, Medical School of Faculty of Harran University, Turkey.
Yazgan
Pelin
P
Gursoy
Bensu
B
Sirmatel
Fatma
F
Zeyrek
Fadile Yildiz
FY
Ozturk
Adil
A
D000038:Abscess / Q000209:etiology / Q000382:microbiology; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology; D002006:Brucellosis / Q000175:diagnosis; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D004977:Ethambutol / Q000008:administration & dosage / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007538:Isoniazid / Q000008:administration & dosage / Q000627:therapeutic use; D008297:Male; D011718:Pyrazinamide / Q000008:administration & dosage / Q000627:therapeutic use; D011859:Radiography; D012293:Rifampin / Q000008:administration & dosage / Q000627:therapeutic use; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging* / Q000382:microbiology; D014394:Tuberculosis, Osteoarticular / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology; D014397:Tuberculosis, Pulmonary / Q000150:complications; D014463:Ultrasonography
D000995:Antitubercular Agents; D011718:Pyrazinamide; D004977:Ethambutol; D007538:Isoniazid; D012293:Rifampin