Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Infections
Abstract number: 23398
SACROILIAC JOINT TUBERCULOSIS: A CASE REPORT AND REVIEW OF
LITERATURE
Kiran SINGISETTI
University Hospital of North Tees, Stockton on Tees (UNITED KINGDOM)
Sacroiliac joint is an unusual site for tuberculosis infection. We report a case of 22
year old man who presented with dull aching left buttock pain and an insidiously
developing swelling around the same sacroiliac joint. He soon complained of
intermittent fever and cough with expectoration. The haematological parameters
were within normal limits except for an ESR of 88mm in first hour. The plain
radiographs and CT scan revealed a lytic lesion of the sacroiliac joint. The swelling
was drained by an open procedure and the histopathological examination confirmed
tubercular infection. He was started on a multi drug regimen of anti tubercular drugs.
He was completely symptom free at the end of three years of follow up. Though the
incidence of bone and joint tuberculosis may be declining in some regions of the
world, it is still a challenge due to its varied presentations. A high index of clinical
suspicion helps in the early diagnosis. Early intervention and multi drug
chemotherapy is cornerstone in its treatment.
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