Tuberculous sacroiliitis: a case report
Keywords:Skeletal tuberculosis, Tuberculous sacroiliitis, ATT
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.
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.
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.