A Rare Case of Tuberculosis with Sacrococcygeal Involvement Miming a Neoplasm
Infection of the lumbosacral junction by tuberculosis is quite rare and occurs in only 1 to 2% of all cases of spinal tuberculosis; moreover, isolated sacrococcygeal or coccygeal tuberculosis is much rarer. Failure to identify and treat these areas of involvement at an early stage may lead to seriou...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2016/7286806 |
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| author | Walid Osman Meriem Braiki Zeineb Alaya Thabet Mouelhi Nader Nawar Mohamed Ben Ayeche |
| author_facet | Walid Osman Meriem Braiki Zeineb Alaya Thabet Mouelhi Nader Nawar Mohamed Ben Ayeche |
| author_sort | Walid Osman |
| collection | DOAJ |
| description | Infection of the lumbosacral junction by tuberculosis is quite rare and occurs in only 1 to 2% of all cases of spinal tuberculosis; moreover, isolated sacrococcygeal or coccygeal tuberculosis is much rarer. Failure to identify and treat these areas of involvement at an early stage may lead to serious complications such as vertebral collapse, spinal compression, and spinal deformity. In the present paper, we report an uncommon case of spinal tuberculosis with sacrococcygeal location revealed by a chronic low back pain that was successfully managed. Computed tomography scan and magnetic resonance imaging of the pelvis revealed a lytic lesion affecting both of sacrum and coccyx causing osseous destruction and suggesting a malignant process. A surgical biopsy was performed to establish the tissue diagnosis. Histopathological report confirmed the diagnosis of skeletal tuberculosis. The patient was treated with antibacillary chemotherapy for a period of 9 months. The follow-up period was of 36 months. There was a full recovery and the patient was asymptomatic. |
| format | Article |
| id | doaj-art-e7f1639f5e8b4e898e5b79b3706284b3 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-e7f1639f5e8b4e898e5b79b3706284b32025-02-03T01:03:15ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/72868067286806A Rare Case of Tuberculosis with Sacrococcygeal Involvement Miming a NeoplasmWalid Osman0Meriem Braiki1Zeineb Alaya2Thabet Mouelhi3Nader Nawar4Mohamed Ben Ayeche5Department of Orthopedic Surgery, MES Medical College, Sahloul University Hospital, 4051 Sousse, TunisiaMES Medical College, Sahloul University Hospital, 4051 Sousse, TunisiaDepartment of Rheumatology, MES Medical College, University Farhat Hached Hospital, 4051 Sousse, TunisiaDepartment of Orthopedic Surgery, MES Medical College, Sahloul University Hospital, 4051 Sousse, TunisiaDepartment of Orthopedic Surgery, MES Medical College, Sahloul University Hospital, 4051 Sousse, TunisiaDepartment of Orthopedics, MES Medical College, Sahloul University Hospital, 4051 Sousse, TunisiaInfection of the lumbosacral junction by tuberculosis is quite rare and occurs in only 1 to 2% of all cases of spinal tuberculosis; moreover, isolated sacrococcygeal or coccygeal tuberculosis is much rarer. Failure to identify and treat these areas of involvement at an early stage may lead to serious complications such as vertebral collapse, spinal compression, and spinal deformity. In the present paper, we report an uncommon case of spinal tuberculosis with sacrococcygeal location revealed by a chronic low back pain that was successfully managed. Computed tomography scan and magnetic resonance imaging of the pelvis revealed a lytic lesion affecting both of sacrum and coccyx causing osseous destruction and suggesting a malignant process. A surgical biopsy was performed to establish the tissue diagnosis. Histopathological report confirmed the diagnosis of skeletal tuberculosis. The patient was treated with antibacillary chemotherapy for a period of 9 months. The follow-up period was of 36 months. There was a full recovery and the patient was asymptomatic.http://dx.doi.org/10.1155/2016/7286806 |
| spellingShingle | Walid Osman Meriem Braiki Zeineb Alaya Thabet Mouelhi Nader Nawar Mohamed Ben Ayeche A Rare Case of Tuberculosis with Sacrococcygeal Involvement Miming a Neoplasm Case Reports in Orthopedics |
| title | A Rare Case of Tuberculosis with Sacrococcygeal Involvement Miming a Neoplasm |
| title_full | A Rare Case of Tuberculosis with Sacrococcygeal Involvement Miming a Neoplasm |
| title_fullStr | A Rare Case of Tuberculosis with Sacrococcygeal Involvement Miming a Neoplasm |
| title_full_unstemmed | A Rare Case of Tuberculosis with Sacrococcygeal Involvement Miming a Neoplasm |
| title_short | A Rare Case of Tuberculosis with Sacrococcygeal Involvement Miming a Neoplasm |
| title_sort | rare case of tuberculosis with sacrococcygeal involvement miming a neoplasm |
| url | http://dx.doi.org/10.1155/2016/7286806 |
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