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Tuberculous sacroiliitis. A case report and review of the literature

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Abstract

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.

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Authors and Affiliations

  1. First Department of Orthopaedics, Athens University Medical School, 4, Christovassili Street, 15451, Neo Psychikon Athens, Greece

    Panayiotis J. Papagelopoulos, Elias Ch. Papadopoulos, Andreas F. Mavrogenis, George S. Themistocleous, Demetrios S. Korres & Panayotis N. Soucacos

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  1. Panayiotis J. Papagelopoulos
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  2. Elias Ch. Papadopoulos
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  3. Andreas F. Mavrogenis
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  4. George S. Themistocleous
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  5. Demetrios S. Korres
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  6. Panayotis N. Soucacos
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Correspondence to Panayiotis J. Papagelopoulos.

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Papagelopoulos, P.J., Papadopoulos, E.C., Mavrogenis, A.F. et al. Tuberculous sacroiliitis. A case report and review of the literature. Eur Spine J 14, 683–688 (2005). https://doi.org/10.1007/s00586-004-0831-0

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  • DOI: https://doi.org/10.1007/s00586-004-0831-0

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