Tuberculosis of the Pubic Symphysis: A Case Report

被引:0
作者
Barrached, Mohammed [1 ]
El Hassali, Achraf Tebbaa [1 ]
Lachkar, Adnane [1 ]
Abdeljaouad, Najib [1 ]
Yacoubi, Hicham [1 ]
机构
[1] Mohammed VI Univ Hosp, Orthoped & Traumatol, Oujda, Morocco
关键词
anti-tuberculosis therapy; tuberculosis; infection; pubic; adult;
D O I
10.7759/cureus.44205
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Tuberculosis of the pubic symphysis is rare; the diagnosis is often difficult but guided by CT and confirmed by histopathological examination. We report the case of a 25-year-old female with no particular past medical history, presenting with pain at the level of the pubic symphysis. Clinical examination showed a small renitent mass and pain on palpation without inflammatory signs. Radiological investigation showed demineralization, lysis, and diastasis of the pubic symphysis with a cystic image in favor of tuberculosis. A biopsy followed by resection was performed, and histopathology confirmed the diagnosis. The patient received medical care for nine months using the 2RHZE/7RH protocol (rifampicin, isoniazid, pyrazinamide, ethambutol), with good results at follow-up. Bone lesions of the pubic symphysis may exceptionally reveal tuberculosis, and the positive diagnosis is based on a histopathological test.
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页数:6
相关论文
共 10 条
  • [1] Ben Amor H, 2000, MED MALADIES INFECT, V30, P721, DOI 10.1016/S0399-077X(01)80006-8
  • [2] Benbouazza K, 1997, REV CHIR ORTHOP, V83, P670
  • [3] BREGEON C, 1981, REV RHUM, V48, P745
  • [4] Imaging features of musculoskeletal tuberculosis
    De Vuyst, D
    Vanhoenacker, F
    Gielen, J
    Bernaerts, A
    De Schepper, AM
    [J]. EUROPEAN RADIOLOGY, 2003, 13 (08) : 1809 - 1819
  • [5] TUBERCULOSIS OF PERIPHERAL JOINTS - A DILEMMA IN DIAGNOSIS
    ELLIS, ME
    ELRAMAHI, KM
    ALDALAAN, AN
    [J]. TUBERCLE AND LUNG DISEASE, 1993, 74 (06): : 399 - 404
  • [6] Meena S, 2015, J RES MED SCI, V20, P100
  • [7] Monach PA, 2003, J RHEUMATOL, V30, P851
  • [8] Pertuiset E, 2006, Rev Rhum, V73, P401, DOI [10.1016/j.rhum.2005.10.020, DOI 10.1016/J.RHUM.2005.10.020]
  • [9] Cold abscess and Bazin's indurated erythema associated to pubic symphysis tuberculosis
    Qassemyar, Q.
    Smail, A.
    Perignon, D.
    Robbe, M.
    Sinna, R.
    [J]. MEDECINE ET MALADIES INFECTIEUSES, 2010, 40 (09): : 552 - 554
  • [10] Tuberculosis of bones and joints
    Watts, HG
    Lifeso, RM
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1996, 78A (02) : 288 - 298