Tuberculosis of the Iliac Crest – A Rare Case

Volume 7 | Issue 2 | May – August 2019 | Page: 31-33 | Preetham. N

Authors: Preetham. N [1].

[1] Department of Orthopaedics, Bangalore Medical College and Research Institute Bangalore.

Address of Correspondence
Dr. Preetham. N,
Department of Orthopaedics, Bangalore Medical College and
Research Institute Bangalore.
E-mail: preetham_1875@yahoo.co.in

Abstract

Tuberculous osteomyelitis is common, but isolated involvement of the ilium bone is a rare entity. We describe a case that had an insidious onset of symptoms and the red flag sign being worsening of symptoms, despite various antibiotic regimens. Histopathological demonstration of necrotizing granulomatous inflammation led to the diagnosis. Surgical excision and antitubercular therapy resulted in clinical recovery. Rarity of iliac crest tuberculosis and its atypical presentation often leads to delay in diagnosis. This case report highlights some of the key features that help in early diagnosis and treatment.
Keywords: Tuberculosis, Iliac crest, Curettage, Biopsy

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