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[Unilateral sacroiliitis in multiorgan tuberculosis].

F Gebel¹, H Gudat, K Wimpfheimer

¹Medizinische Klinik, Kantonsspital Luzern.

Deutsche Medizinische Wochenschrift (1946)

|January 11, 1991

Summary

This case study highlights multi-organ tuberculosis in a young man, presenting with sacroiliitis and ear involvement. Effective tuberculostatic treatment led to a full recovery and symptom resolution.

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Area of Science:

Infectious Diseases
Radiology
Pathology

Background:

Tuberculosis (TB) can manifest with diverse extrapulmonary symptoms, challenging diagnosis.
Sacroiliitis is an uncommon presentation of disseminated tuberculosis.

Observation:

A 27-year-old man presented with chronic cough, parasternal swelling, and lumbo-ischial pain.
Radiography revealed right-sided sacroiliitis; subsequent imaging showed disseminated lung nodules.
Middle ear involvement and parasternal swelling were also noted.

Findings:

Mycobacterium tuberculosis was identified in sputum, ear fluid, and biopsy samples.
Histopathology confirmed caseous granulomas, indicative of tuberculosis.
Diagnosis: Tuberculous sacroiliitis as part of multi-organ tuberculosis.

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Implications:

Early diagnosis and comprehensive treatment of multi-organ TB are crucial for patient outcomes.
This case underscores the importance of considering TB in patients with unexplained sacroiliitis and systemic symptoms.
Successful management with standard tuberculostatic therapy led to complete remission.