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




Abstract

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

References

  1. Evanchick CC., et al. “Tuberculosis of peripherazjoints: an often missed diagnosis”. The Journal of Rheumatology 13 (1986): 187-189.
  2. Houshian S., et al. “Bone and joint tuberculosis inDenmark. Increase due to immigration”. Acta Orthopaedica Scandinavica 3 (2000): 312-315.
  3. Babhulkar S and Pande S. “Extraspinal tuberculosis: unusual manifestation of osteoarticular tuberculosis”. Clinical Orthopaedics and Related Research 398 (2002) :114-120.
  4. Benbouazza K., et al. “Les aspects diagnostiques de la tuberculose ostéoarticulaire. Analysed’une série de 120 cas identifiés dans un service de rhumatologie”. Sem Hop Paris 75 (1999): 1057-1064.
  5. Martini M. “La tuberculose ostéoarticulaire”. Berlin Heidelberg: Springer-Verlag (1988): 87-96.
  6. Tuli SM. “General principles of osteoarticular tuberculosis”. Clinical Orthopaedics and Related Research 398 (2002): 11-19.
  7. Pertuiset E., et al. “Aspects épidémiologiques de la tuberculose ostéoarticulaire del’adulte. Étude rétrospective de 206 cas diagnostiqués en région parisiennedurant la période 1980-1994”. La Presse Médicale 7 (1997): 311-315.
  8. Jutte PC., et al. “Increase of bone and joint tuberculosis in the Netherlands”. The Journal of Bone and Joint Surgery British 6 (2004): 901-904.
  9. Pertuiset E. “Tuberculose osseuse et articulaire des members”. EMC Rhumatologie Orthopédie1 (2004): 463-462.
  10. Babhulkar S and Pande S. “Extraspinal tuberculosis: tuberculosis of the hip”. Clinical Orthopaedics and Related Research 398 (2002): 93-99.
  11. E Pertuiset. “Tuberculose osseuse et articulaire des membres EMC”. Appareil Locomoteur3 (2015): 1-12.
  12. E Pertuiset. “Tuberculose ostéo-articulaire extra-vertébrale”. Revue De Rhumatisme 73 (2006): 387-393.
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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