Elghoul Naoufal, Benchakroun Mohammed, Zaddoug Omar, Bennis Azzelarab, Zine Ali, Tanane Mansour, Jaafar Abdeloihab
Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V (HMIMV), Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco.
Oxf Med Case Reports. 2020 May 23;2020(4):omaa025. doi: 10.1093/omcr/omaa025. eCollection 2020 Apr.
The incidence of bone tuberculosis is less than 5% of all tuberculosis cases. Furthermore, multifocal bone tuberculosis is uncommon, which rarely occurs without primary foci. It is difficult to diagnose, particularly if it is localized in both humeral heads. On the other hand, the isolated iliac bone tuberculosis is exceptional; it constitutes, also, a challenging diagnosis, which requires a high index of clinical suspicion and advanced investigations. Herein, we first report a case of multifocal tuberculosis of both humeral heads with no primary foci, and we secondarily report a case of isolated iliac bone tuberculosis. At last, however, the histological exam and polymerase chain reaction for the complex are not always positives; they are mandatory as tests to ascertain the diagnosis.
骨结核的发病率不到所有结核病病例的5%。此外，多灶性骨结核并不常见，若无原发灶则很少发生。其诊断困难，尤其是当病变局限于双侧肱骨头时。另一方面，孤立性髂骨结核则更为罕见；其诊断也具有挑战性，需要高度的临床怀疑和先进的检查手段。在此，我们首先报告一例双侧肱骨头多灶性结核且无原发灶的病例，其次报告一例孤立性髂骨结核病例。然而，最后，针对该复合体的组织学检查和聚合酶链反应并不总是呈阳性；它们作为确诊的检查是必不可少的。
