Tuberculous sacroiliitis: a case report

Authors

  • Sarvesh Khakandaki Department of Orthopaedics, Shri B M Patil Medical College, BLDE Deemed to be University, Vijayapura, Karnataka, India http://orcid.org/0000-0002-2065-6862
  • Nikita Kamashetty Department of Obstetrics and Gynaecology, MCH wing, District Hospital, Vijayapura, Karnataka, India
  • Gurusangappa Mudgall Department of Medicine, Shri B M Patil Medical College, BLDE Deemed to be university, Vijayapura, Karnataka, India
  • Pranav Paritekar Department of Orthopaedics, Shri B M Patil Medical College, BLDE Deemed to be University, Vijayapura, Karnataka, India
  • Keyur Upadhyay Department of Orthopaedics, Shri B M Patil Medical College, BLDE Deemed to be University, Vijayapura, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20214196

Keywords:

Skeletal tuberculosis, Tuberculous sacroiliitis, ATT

Abstract

In 1-5% of cases of the infections of the musculoskeletal system are tuberculous. The sacroiliac joint (SI) shows involvement in 3-9.7%. Here, we describe the unique case of a 19-year-old female who presented with pain in the left buttock and low backache. Three months prior, the patient was diagnosed with pulmonary tuberculosis. The patient was started on anti-tuberculosis drugs (ATT) for three months. The pain increased on weight-bearing and on squatting, and it decreased with rest. X-ray and MRI were suggestive of Sacroiliitis secondary to tuberculosis. Now, after conservative management, the patient is symptom-free with no functional limitation. This case report focuses on the importance of continued awareness for early detection and treatment of a tuberculous sacroiliac joint infection.

Author Biography

Sarvesh Khakandaki, Department of Orthopaedics, Shri B M Patil Medical College, BLDE Deemed to be University, Vijayapura, Karnataka, India

senior resident

department of orthopaedics

References

Davies PDO, Humphries MJ, Byfield SP. Bone and joint tuberculosis. A survey of notifications in England and Wales. J Bone Jt Surg - Ser B. 1984;66(3):326–30.

Benchakroun M, El Bardouni A, Zaddoug O, Kharmaz M, Lamrani MO, El Yaacoubi M, et al. Tuberculous sacroiliitis. Four cases. Jt Bone Spine. 2004;71(2):150–3.

Aydin G, Tomruk S, Keleş I, Demir SÖ, Orkun S. Transcutaneous electrical nerve stimulation versus baclofen in spasticity: Clinical and electrophysiologic comparison. Am J Phys Med Rehabil. 2005;84(8):584–92.

Gordon G, Kabins SA. Pyogenic sacroiliitis. Am J Med. 1980;69(1):50–6.

Sacroiliac_Joint_Tuberculosis__Classification_and.26.pdf.

Pouchot J, Vinceneux P, Barge J, Boussougant Y, Gross M, Pierre J, et al. Tuberculosis, of the sacroiliac joint: clinical features, outcome, and evaluation of closed needle biopsy in 11 consecutive cases. Am J Med. 1988;84(3 PART 2):622–8.

Laslett M, Williams M. The Reliability of Selected Pain Provocation Tests for Sacroiliac Joint Pathology; 1994.

Merlin CF, Hospital O, The G. OF REPORT THE entirely; 1982.

Davidson PT, Horowitz I. Skeletal tuberculosis. A review with patient presentations and discussion. Am J Med. 1970;48(1):77–84.

Conference C. Severe right hip pain in a 73-year-old woman. Am J Med. 1986;81(1):117–24.

Shembekar A, Babhulkar S. Chemotherapy for osteoarticular tuberculosis. Clin Orthop Relat Res. 2002;(398):20–6.

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Published

2021-10-26

Issue

Vol. 7 No. 6 (2021): November-December 2021

Section

Case Reports