Baziaa Sarra, Zegmout Adil, Beaouiss Mohamed, El Fathi Soufiane, Rafik Aniss, Souhi Hicham, Rhorfi Ismail, El Ouazzani Hanane
Pulmonology Department, Mohamed V Military Hospital, Rabat, Morocco.
Access Microbiol. 2025 Jun 30;7(6). doi: 10.1099/acmi.0.000924.v3. eCollection 2025.
Tuberculosis (TB) is a preventable and usually curable disease but remains a major health problem worldwide, particularly in developing countries. TB of the lumbosacral junction is rare and occurs in only 1-2% of all cases of spinal TB. Moreover, isolated sacrococcygeal TB is extremely rare. We present a case of a 64-year-old patient with a history of diabetes who presented with chronic back pain and cough. Physical examinations revealed a perianal fistula and left elbow joint arthritis. The patient is diagnosed with disseminated TB with coccygeal involvement. Diagnosis was achieved non-invasively using Xpert MTB/RIF, confirming infection. The patient experienced complete resolution of symptoms following the commencement of anti-TB therapy. We highlight the importance of this case due to the rare coccygeal localization of TB in an immunocompetent patient, diagnosed through non-invasive means.
肺结核（TB）是一种可预防且通常可治愈的疾病，但仍是全球主要的健康问题，尤其是在发展中国家。腰骶部结核很罕见，仅占所有脊柱结核病例的1%-2%。此外，孤立性骶尾结核极为罕见。我们报告一例64岁有糖尿病史的患者，其表现为慢性背痛和咳嗽。体格检查发现肛周瘘管和左肘关节关节炎。该患者被诊断为播散性结核伴尾骨受累。通过Xpert MTB/RIF非侵入性地确诊感染。抗结核治疗开始后，患者症状完全缓解。我们强调该病例的重要性，因为在免疫功能正常的患者中，结核罕见地累及尾骨，且通过非侵入性手段得以诊断。
