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...
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Veröffentlicht in: | Le infezioni in medicina 2007-06, Vol.15 (2), p.119-123 |
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description | 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. |
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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.</description><subject>Abscess - etiology</subject><subject>Abscess - microbiology</subject><subject>Adult</subject><subject>Antitubercular Agents - therapeutic use</subject><subject>Arthritis, Infectious - diagnostic imaging</subject><subject>Arthritis, Infectious - drug therapy</subject><subject>Arthritis, Infectious - etiology</subject><subject>Arthritis, Infectious - microbiology</subject><subject>Brucellosis - diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Drug Therapy, Combination</subject><subject>Ethambutol - administration & dosage</subject><subject>Ethambutol - therapeutic use</subject><subject>Female</subject><subject>Humans</subject><subject>Isoniazid - administration & dosage</subject><subject>Isoniazid - therapeutic use</subject><subject>Male</subject><subject>Pyrazinamide - administration & dosage</subject><subject>Pyrazinamide - therapeutic use</subject><subject>Radiography</subject><subject>Rifampin - administration & dosage</subject><subject>Rifampin - therapeutic use</subject><subject>Sacroiliac Joint - diagnostic imaging</subject><subject>Sacroiliac Joint - microbiology</subject><subject>Tuberculosis, Osteoarticular - diagnostic imaging</subject><subject>Tuberculosis, Osteoarticular - drug therapy</subject><subject>Tuberculosis, Osteoarticular - etiology</subject><subject>Tuberculosis, Pulmonary - complications</subject><subject>Ultrasonography</subject><issn>1124-9390</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j01LxDAYhHNQ3GXdvyA5eSs0yaZtPAiy-LGw4GU9lzfJmyWSNjVpEf-9Ade5DAwPw8wVWTPGd5USql6Rbc6fdVFTM6W6G7JirVSqBGvyeFo0JrOEuGSawaRY-YB-9vmBzt-RGsiYKYyWJrA-hnj2BgJ1frR-POdbcu0gZNxefEM-Xp5P-7fq-P562D8dq6msmCupnZDoNCAyZZyw1jbQON0JIzTvpBKotemU5o0RKAFQOa5hx7SpZQHFhtz_9U4pfi2Y537w2WAIMGJZ3rd10zLFRQHvLuCiB7T9lPwA6af_fyx-AaoEU8E</recordid><startdate>200706</startdate><enddate>200706</enddate><creator>Sirmatel, Ocal</creator><creator>Yazgan, Pelin</creator><creator>Gursoy, Bensu</creator><creator>Sirmatel, Fatma</creator><creator>Zeyrek, Fadile Yildiz</creator><creator>Ozturk, Adil</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200706</creationdate><title>Tuberculous sacro-ileitis: two cases and radiological findings</title><author>Sirmatel, Ocal ; 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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.</abstract><cop>Italy</cop><pmid>17599000</pmid><tpages>5</tpages></addata></record> |
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subjects | Abscess - etiology Abscess - microbiology Adult Antitubercular Agents - therapeutic use Arthritis, Infectious - diagnostic imaging Arthritis, Infectious - drug therapy Arthritis, Infectious - etiology Arthritis, Infectious - microbiology Brucellosis - diagnosis Diagnosis, Differential Drug Therapy, Combination Ethambutol - administration & dosage Ethambutol - therapeutic use Female Humans Isoniazid - administration & dosage Isoniazid - therapeutic use Male Pyrazinamide - administration & dosage Pyrazinamide - therapeutic use Radiography Rifampin - administration & dosage Rifampin - therapeutic use Sacroiliac Joint - diagnostic imaging Sacroiliac Joint - microbiology Tuberculosis, Osteoarticular - diagnostic imaging Tuberculosis, Osteoarticular - drug therapy Tuberculosis, Osteoarticular - etiology Tuberculosis, Pulmonary - complications Ultrasonography |
title | Tuberculous sacro-ileitis: two cases and radiological findings |
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