1/8. Tuberculous sacroiliitis: a case report.tuberculosis can affect sacroiliac joints, but only a few such cases have been reported. The onset is usually insidious, and early diagnosis requires a high index of clinical suspicion. We report herein a culture-proven case of tuberculous sacroiliitis which initially mimicked neoplastic infiltration on CT scan.- - - - - - - - - - ranking = 1keywords = sacroiliitis (Clic here for more details about this article) |
2/8. 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.- - - - - - - - - - ranking = 1keywords = sacroiliitis (Clic here for more details about this article) |
3/8. Multifocal skeletal tuberculosis involving the lumbar spine and a sacroiliac joint: MR imaging findings.sacroiliac joint tuberculosis is rare; its coexistence with vertebral tuberculosis is even rarer, with only a few such patients reported in the literature. We present magnetic resonance (MR) imaging findings of a patient with vertebral and sacroiliac joint tuberculosis, who had paravertebral, iliopsoas, and buttock abscesses accompanied by a gluteal pus-draining sinus tract. MR imaging is the most sensitive and specific imaging modality for diagnosing sacroiliitis at its early stage. sacroiliac joint tuberculosis can reach advanced stages with extensive joint destruction and periarticular abscesses if diagnosis and treatment are delayed. A high index of clinical suspicion is required for an early diagnosis. The addition of a coronal SPIR T2-weighted sequence to the routine MR imaging evaluation of patients studied for lumbar disk disease may be useful for recognizing sacroiliac joint pathology at an earlier stage.- - - - - - - - - - ranking = 0.2keywords = sacroiliitis (Clic here for more details about this article) |
4/8. Bone scintigraphy in tuberculous sacroiliitis.Radionuclide bone imaging is becoming increasingly important in the evaluation of musculoskeletal pain of uncertain cause. A case in which Tc-99m MDP bone imaging was employed to investigate complaints of low back pain is presented. Scan abnormalities directed clinicians towards appropriate further workup and diagnosis of unilateral tuberculous sacroiliitis.- - - - - - - - - - ranking = 1keywords = sacroiliitis (Clic here for more details about this article) |
5/8. Tuberculous sacroiliitis.We have described an unusual case of tuberculous sacroiliitis associated with adrenal insufficiency, with details of radiologic studies and review of the literature concerning tuberculous sacroiliitis.- - - - - - - - - - ranking = 1.2keywords = sacroiliitis (Clic here for more details about this article) |
6/8. Chronic sciatica caused by tuberculous sacroiliitis. A case report.STUDY DESIGN. This is a case report. OBJECTIVES. To report and discuss a case of tuberculosis sacroiliitis with anterior synovial cyst presenting as chronic sciatica. SUMMARY OF BACKGROUND DATA. This is a report of clinical manifestation, physical findings, computed tomography scan, and results after surgical treatment in a 58-year-old woman with tuberculous sacroiliitis, which caused chronic sciatica. methods. The physical findings, laboratory data, radiographs, and computed tomography scan of sacroiliac joints were studied. sacroiliitis with anterior synovial cyst was shown in computed tomography scan. Posterior arthrotomy and drainage of the synovial cyst were performed. After surgery, she was treated with three combined antituberculosis drugs for 9 months. RESULTS. Lowenstein-Jensen culture and histologic examination confirmed the diagnosis of tuberculous sacroiliitis. At 3 years, she had no back pain or sciatica and a complete functional recovery. CONCLUSIONS. Tuberculous sacroiliitis with anterior synovial cyst is a rare cause of chronic sciatica. Lateral compression of the pelvis, Gaenslen's test, and Patrick's test should be included in evaluation of patients with sciatica. Computed tomography scan is a superb diagnostic method for sacroiliitis. Arthrotomy and drainage effectively relieve the sciatica. Three combined antituberculosis drug therapy should be given after surgery.- - - - - - - - - - ranking = 1.8keywords = sacroiliitis (Clic here for more details about this article) |
7/8. Atypical salmonellosis: two cases of sacroiliitis.Two young adult males presented with fever, severe pain, redness, swelling over the left sacroiliac joint and inability to walk and squat. A differential diagnosis of tuberculous sacroiliitis was considered. On blood culture isolation of S. Typhi in both of them was suggestive of sacroiliitis of salmonella etiology. They recovered completely following specific antibiotic therapy, aspirin and bed rest. At recovery both showed extremely high Widal titres.- - - - - - - - - - ranking = 1.2keywords = sacroiliitis (Clic here for more details about this article) |
8/8. sacroiliac joint tuberculosis. classification and treatment.The authors treated 16 patients with tuberculosis of the sacroiliac joint. Twelve were treated surgically and four were treated conservatively. The clinical symptoms were buttock and low back pain in all patients, and most had difficulty walking (68.6%) and had radicular pain in their lower limbs (50%). Of the 16 patients, four (15%) had associated tuberculous spondylitis, six (37.5%) had an abscess in the gluteal region, and two (12.5%) had an abscess in the inguinal region. The diagnosis was proven by pathologic specimen in 12 patients and by clinical symptoms, laboratory data, and radiologic findings in the remaining four patients. The authors classified tuberculous sacroiliitis into four types based on the clinical and radiologic findings. Types 1 and 2 were treated conservatively with chemotherapy alone, whereas Types 3 and 4 were treated with surgery and chemotherapy. Healing occurred and was evident in patients who had curettage and arthrodesis (Types 3 and 4) at a mean of 20.8 months, which was comparable with healing in the patients who had chemotherapy alone that occurred at a mean of 23.5 months (Types 1 and 2). The authors suggest that the new classification will be helpful in determining the therapeutic plan of tuberculous sacroiliitis.- - - - - - - - - - ranking = 0.4keywords = sacroiliitis (Clic here for more details about this article) |