Brasseur P, Koral E, Sukkarieh F, Vanhaeverbeek M, Bissen L
Services de Radiologie, CHU de Charleroi, Site André Vésale, Montigny-le-Tilleul.
Rev Med Brux. 2004 Apr;25(2):99-102.
Our case concerns a 32-year old Cameroonian male presenting with tuberculous sacroiliitis. Diagnosis was made on the basis of a positive abscess needle aspirate. Tuberculous sacroiliitis is rare and generally an isolated phenomenon. Its insidious presentation leads to delayed diagnosis. The affection is often overlooked due to lack of awareness of the clinicians, the usually good condition of the patient and minimal signs of sacroiliac joint infection. Haematological data are frequently non contributory. High risk groups include developing countries immigrants, immunodepressed patients and low socioeconomic status. Accurate diagnosis is based on percutaneous synovial fluid or abscess aspirate bacteriology. CT-scan and NMR are the most helpful radiological examinations.
我们的病例是一名32岁的喀麦隆男性,患有结核性骶髂关节炎。诊断基于脓肿穿刺抽吸结果呈阳性。结核性骶髂关节炎较为罕见,通常为孤立现象。其隐匿的表现导致诊断延迟。由于临床医生缺乏认识、患者通常状况良好以及骶髂关节感染体征不明显,这种疾病常被忽视。血液学数据往往无诊断价值。高危人群包括发展中国家移民、免疫功能低下患者和社会经济地位较低者。准确诊断基于经皮滑膜液或脓肿抽吸物细菌学检查。CT扫描和核磁共振成像(NMR)是最有帮助的影像学检查。