Sirmatel Ocal, Yazgan Pelin, Gursoy Bensu, Sirmatel Fatma, Zeyrek Fadile Yildiz, Ozturk Adil
Radiodiagnostic Depart.-Sanliurfa, Medical School of Faculty of Harran University, Turkey.
Infez Med. 2007 Jun;15(2):119-23.
Infective sacro-ileitis is due to common bacteria, 25% being tuberculosis and 10% brucellosis. Slow progression characterizes joint tuberculosis, an uncommon variant of this disease. The onset is usually insidious, and early diagnosis requires a high index of clinical suspicion. We report two cases with tuberculous sacro-ileitis which initially mimicked brucellosis infiltration. Diagnosis of tuberculosis of the sacroiliac joint was established by fine-needle aspiration of joint and radiological imaging methods such as computerized tomography, magnetic resonance and three-phase bone scan. The current diagnosis and treatment of this condition is discussed based on these cases and a literature review.
感染性骶髂关节炎由常见细菌引起，其中25%为结核，10%为布鲁氏菌病。关节结核是这种疾病的一种罕见变体，其特点是进展缓慢。发病通常隐匿，早期诊断需要高度的临床怀疑指数。我们报告两例结核性骶髂关节炎病例，最初表现类似布鲁氏菌病浸润。通过关节细针穿刺以及计算机断层扫描、磁共振成像和三相骨扫描等放射学成像方法确诊为骶髂关节结核。基于这些病例和文献综述，讨论了该病目前的诊断和治疗方法。
