Case Report
Volume 9 Issue 7 - 2020
Tuberculosis Bones Multiple Locations: About a Case
Rachid Benchanna*, Amine Benjelloune, Hicham Janah and Rachid Bouchentouf
Pneumo Phtisiology Department, Hôpital Militaire Avicenne Marrakech, Morocco
*Corresponding Author: Rachid Benchanna, Pneumo Phtisiology Department, Hôpital Militaire Avicenne Marrakech, Morocco.
Received: June 06, 2020; Published: June 24, 2020


Tuberculosis is a major public health problem. Bone localization is rare and represents 1 to 5% of all forms, and 10 to 20% of extra-pulmonary forms.

It is a clinical case of a new case of multiple localization bone tuberculosis associating both left and right sacroiliitis and pulmonary tuberculoma.This is a patient aged 28 years with a concept of recent tuberculosis. The patient had for seven months paroxysmal lumbago, evening fever, and an amaigrissement loss of 10 kg in 5 months. In addition, the patient had left basal chest pain associated with productive cough. Pleuro-pulmonary examination showed left basal condensation syndrome. The osteo-articular examination showed on the one hand a stiffness of the sacroiliac articulation and on the other hand a painful limitation of the passive abduction of the left hip. The chest X-ray showed a circumscribed left basal opacity oval and well limited. Direct examination for BK sputum was positive. The pelvic radiograph showed a narrowing of the left coxofemoral line and the MRI showed a right sacroiliac collection. Biopsy of the lung mass showed a granulomatous lesion with caseous necrosis. bone tuberculosis was selected and treatment was prescribed based on 2RHZE/4RH. The evolution was marked by left hip osteoarthritis.Bone tuberculosis is difficult to diagnose, bacteriology remains the bedrock. 

Keywords: Coxalgia; Sacroiliitis Tubercular


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Citation: Rachid Benchanna., et al. “Tuberculosis Bones Multiple Locations: About a Case”. EC Pulmonology and Respiratory Medicine 9.7 (2020): 89-93.

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