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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
Summary
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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