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Tuberculous sacro-ileitis: two cases and radiological findings

Ocal Sirmatel1, Pelin Yazgan, Bensu Gursoy

  • 1Radiodiagnostic Depart.-Sanliurfa, Medical School of Faculty of Harran University, Turkey.

Le Infezioni in Medicina
|June 30, 2007
PubMed

Insights

Tuberculosis can cause sacro-iliitis, mimicking brucellosis. Early diagnosis of tuberculous sacro-iliitis requires high suspicion and advanced imaging techniques for effective treatment.

Area of Science:

  • Infectious Diseases
  • Orthopedics
  • Radiology

Background:

  • Infective sacro-ileitis is commonly caused by bacteria, with tuberculosis (TB) and brucellosis being significant pathogens.
  • Tuberculous sacro-iliitis is an uncommon, slow-progressing joint infection often presenting with insidious onset.

Observation:

  • Two cases of tuberculous sacro-iliitis initially presented with symptoms mimicking brucellosis infiltration.
  • Diagnosis was confirmed using fine-needle aspiration and advanced imaging modalities.

Findings:

  • Computerized tomography (CT), magnetic resonance imaging (MRI), and three-phase bone scintigraphy were crucial in diagnosing tuberculous sacro-iliitis.
  • The study highlights the diagnostic challenges and emphasizes the need for clinical suspicion.

Implications:

  • Accurate and timely diagnosis of tuberculous sacro-iliitis is essential for appropriate management.
  • Understanding the differential diagnosis between tuberculous and brucellar sacro-iliitis improves patient outcomes.

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