Sacrum Pott’s disease: A rare location of spine tuberculosis
نویسندگان
چکیده
Pott’s disease; Spine tuberculosis; Sacrum; Lower back pain; TB; Black Africa Abstract Background: Spinal tuberculosis is a common form of musculoskeletal tuberculosis. However, a tubercular involvement of the sacrum is very rare. Aim of the work: The aim of this case report is to describe a rare case of tuberculosis of the sacrum. Case report: A 37-year-old man was referred to the Rheumatology department of the regional teaching hospital of Lomé, Togo for a 9 month history of low-grade fever, pain and swelling of the sacral region. X-ray and computerized tomography (CT) scan of the sacrum revealed an osteolytic lesion. Cold abscess aspiration cytology was negative for acid-fast bacilli but Polymerase Chain Reaction (PCR) using the Xpert MTB/RIF (Mycobacterium tuberculosis/resistance to rifampicin) diagnostic test was positive in revealing M. tuberculosis. The evolution under specific antibiotic treatment has been favorable, with the disappearance of sacral pain and a weight recovery of 20 kg in 12 months. Conclusion: Isolated sacral tuberculosis is rare but a high degree of suspicion is needed in the presence of atypical clinical and radiological features of a sacral lesion particularly in Black Africa. 2014 Production and hosting by Elsevier B.V. on behalf of Egyptian Society of Rheumatic Diseases.
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