Kumar Ashok, Varshney Manish Kumar, Trikha Vivek
Department of Orthopedics, All India Institute of Medical Sciences, New Delhi 110029, India.
Joint Bone Spine. 2006 Dec;73(6):751-2. doi: 10.1016/j.jbspin.2006.01.016. Epub 2006 Apr 19.
Tuberculosis is as old as mankind. Vertebral tuberculosis is fairly common form of bone and joint tuberculosis. However, isolated sacral tuberculosis is rare. It may present as an atypical sacral lesion having epidural granuloma without destruction of sacrum on MRI and plain X-rays. This atypical presentation may lead to delay in diagnosis and treatment. This case report intends to emphasize that spinal tuberculosis should be the first and foremost differential diagnosis in the presence of atypical clinical and radiological features of a sacral lesion particularly in developing countries. Early diagnosis and treatment can prevent or minimize the neurological morbidity in such cases.
结核病与人类历史一样悠久。脊椎结核是骨与关节结核中相当常见的一种形式。然而，孤立性骶骨结核较为罕见。它可能表现为一种非典型的骶骨病变，在磁共振成像（MRI）和平片X射线上有硬膜外肉芽肿但无骶骨破坏。这种非典型表现可能导致诊断和治疗延迟。本病例报告旨在强调，在骶骨病变出现非典型临床和放射学特征时，尤其是在发展中国家，脊柱结核应是首要的鉴别诊断。早期诊断和治疗可预防此类病例的神经功能障碍或使其降至最低程度。
