Panayiotis J. Papagelopoulos, Elias Ch. Papadopoulos, Andreas F. Mavrogenis, George S. Themistocleous, Demetrios S. Korres, Panayotis N. Soucacos

February 2005, Volume 14, Issue 7, pp 683 - 688 Case Report Read Full Article 10.1007/s00586-004-0831-0

First Online: 03 February 2005

Background: Infections of the musculoskeletal system are tuberculous in nature in 1–5% of cases. The sacroiliac joint is involved in 3–9.7%. We describe the case of a 32-year-old man with tuberculous sacroiliitis presented as a growing mass on the lateral aspect of his right proximal and mid-thigh. Open biopsy, histology, cultures and PCR established the diagnosis of tuberculosis. Results: After surgical drainage of the abscess, the patient was administrated a triple antibiotic regimen for 12 months. Seven years postoperatively, the patient is disease-free with no functional limitation. This case report highlights the importance of continued awareness for early detection and treatment of a tuberculous sacroiliac joint infection.

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