Department of Orthopedics, Institute of Medical Sciences, Lanka, Varanasi, 221005, India.
J Orthop Traumatol. 2011 Dec;12(4):223-5. doi: 10.1007/s10195-011-0157-8. Epub 2011 Oct 18.
The case of a 20-year-old female who presented with refractory coccydynia and sternal pain is described. She was immunocompetent, and had no systemic features. She was diagnosed with tuberculosis of the sternal and coccygeal regions based on magnetic resonance imaging and histopathology of biopsy specimens. Conservative management with oral multidrug antituberculous therapy completely cured the patient, and she had not suffered any recurrence after three years of follow-up. This case highlights the possibility of the multicentric presentation of tuberculosis at two rare sites in the same immunocompetent patient, even though the differential diagnosis was coccydynia.
本文描述了一例 20 岁女性患者，其表现为难治性尾痛和胸骨痛。患者免疫功能正常，无全身症状。根据磁共振成像和活检标本的组织病理学检查，诊断为胸骨和尾骨区域结核。采用口服多药抗结核治疗的保守治疗方法使患者完全康复，随访 3 年后未再复发。本病例提示，即使鉴别诊断为尾痛，同一免疫功能正常患者也可能在两个罕见部位出现结核的多中心表现。
