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
Hauptverfasser: Sirmatel, Ocal, Yazgan, Pelin, Gursoy, Bensu, Sirmatel, Fatma, Zeyrek, Fadile Yildiz, Ozturk, Adil
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container_issue 2
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container_title Le infezioni in medicina
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creator Sirmatel, Ocal
Yazgan, Pelin
Gursoy, Bensu
Sirmatel, Fatma
Zeyrek, Fadile Yildiz
Ozturk, Adil
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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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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