Diallo Ismaël, Zabsonré Joëlle Tiendrébéogo, Kambou Bénilde Marie Ange Tiemtoré, Sondo Apoline Kongnimissom, Sagna Yempabou, Ouédraogo Dieu-Donné
Service de Médecine Interne, Hôpital de jour du Centre Hospitalier Universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
Service de Radiologie et d'Imagerie Médicale du Centre Hospitalier Universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
Pan Afr Med J. 2016 Oct 4;25:69. doi: 10.11604/pamj.2016.25.69.10428. eCollection 2016.
Tuberculous sacroiliitis is rare and of difficult diagnosis. We here report two cases. The first patient was a 40-year old woman with HIV infection; the diagnosis was based on histological evaluation after surgical biopsy. The second patient was a 25-year old man living in prison whose diagnosis was established on the basis of clinical, biological, radiological reasonings and of the effectiveness of the treatment; tuberculin intradermal reaction was phlyctenular. CT scan was essential to establish the lesion diagnosis by showing edge erosion and soft tissue abscess The patients received medical and anti-tuberculosis treatment.
结核性骶髂关节炎较为罕见，诊断困难。我们在此报告两例病例。首例患者为一名40岁的HIV感染女性；诊断基于手术活检后的组织学评估。第二例患者是一名25岁的在押男性，其诊断基于临床、生物学、影像学依据及治疗效果；结核菌素皮内反应呈泡疹状。CT扫描对于通过显示边缘侵蚀和软组织脓肿来确诊病变至关重要。患者接受了药物及抗结核治疗。
