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Case Reports
. 2018 Apr-Jun;8(2):e31.
doi: 10.2106/JBJS.CC.17.00183.

Isolated Iliac Crest Tuberculosis: A Case Report

Facundo E Stingo  1   2   3 , Francisco Rodriguez-Fontan  3   4 , Evalina Burger-Van der Walt  4 , Javier Arce  1 , Sebastian N Garcia  1   3 , Ricardo M Munafo  1   5
Affiliations
Case Reports

Isolated Iliac Crest Tuberculosis: A Case Report

Facundo E Stingo et al. JBJS Case Connect. 2018 Apr-Jun.

Abstract

Case: Following an insidious onset of symptoms, a 29-year-old man who had no risk factors for tuberculosis was diagnosed with tuberculosis of the iliac crest. The red flag in this case was the patient's progressive deterioration despite a variety of antibiotic regimens. Histopathologic demonstration of necrotic granulomatous inflammation and a positive culture led to the diagnosis. A combination of surgery and antitubercular-drug therapy resulted in clinical recovery.

Conclusion: Iliac crest tuberculosis represents <1% of all skeletal tuberculosis cases. Even in the absence of classic symptoms and risk factors, orthopaedic surgeons should maintain a low threshold for tuberculosis in the differential diagnosis.

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References

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