An Uncommon Ischial Tuberosity Tuberculosis Infection.

INTRODUCTION

Ischium is one of the rare sites to be involved by mycobacterium tuberculosis. The incidence is generally not more than 0.2% in any of the large series. We report an unusual case of extrapulmonary tuberculosis of the ischial tuberosity presenting with chronic gluteal pain of 6 months duration.

CASE REPORT

A 35-year-old male patient presented with chronic dull aching gluteal pain of 6 months duration, for which lifestyle modifications and rest were advised initially. Antituberculosis chemotherapy was administered (for a period of 1 year) following histopathological confirmation of tuberculosis. At 1 year post antitubercular therapy, the patient had no pain and was symptom free. Furthermore, radiographs showed healed right ischial tuberosity osteomyelitis.

CONCLUSION

Tuberculosis involving the ischial tuberosity is rare. The early diagnosis is mandatory for good results, and with a worldwide resurgence of the disease, a high index of suspicion is necessary. Prompt diagnosis and treatment resulted in a good clinical outcome in this patient.