Tuberculosis of the pubic symphysis masquerading as osteitis pubis: a case report

Tüberküloz formlarda ortaya çıkabilen ve sadece insanlarda görülen en eski enfeksiyon hastalıklarından biridir. Kasık simfizisi tüberküloz yerleşimi için sıra dışı bir yerdir ve İngilizce literatürde çok az sayıda olgu bildirilmiştir. Çalışmamızda kurumumuza ilk başvurusunda osteitis pubis tanısı konan nadir bir pubis eklemi tüberküloz olgusu sunuyoruz. Antitüberküloz kemoterapi sonrası hasta sorunsuz bir şekilde iyileşmiştir.

Osteitis pubis görünümünde pubis eklemi tüberkülozu: Olgu sunumu

Tuberculosis is one of the oldest diseases affecting mankind and is known for its ability to present in various forms and guises. Pubic symphysis is an uncommon site for tuberculous affliction; hence very few cases have been reported in the English-language literature. We present a rare case of pubic symphysis tuberculosis diagnosed as osteitis pubis before presentation to our institution. The patient made an uneventful recovery following antitubercular chemotherapy.

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  • 1. Canale ST, Beaty JH. Campbell’s operative orthopaedics. 11th ed. Philadelphia, PA: Mosby Elsevier; 2008.
  • 2. Ker NB. Tuberculosis of the pubic symphysis. J R Soc Med 1986;79:429-30.
  • 3. Moon MS, Ok IY, Ha KY, Sihn JC. Tuberculosis of the ischiopubic ramus: a report of five cases. Int Orthop 1990; 14:175-7.
  • 4. Rozadilla A, Nolla JM, Rodriguez J, Del Blanco J, Roig Escofet D. Tuberculosis of the pubic symphysis. J Rheumatol 1991; 18:1271-2.
  • 5. Manzaneque L, Marin I, García-Bragado F, Beiztegui A, Dastis C, Sánchez-Matas P. Osteoarticular tuberculosis of the symphysis pubis presenting as a hypogastric cystic mass in a woman with primary Sjögren’s syndrome. Br J Rheumatol 1992;31: 495-6.
  • 6. Tsay MH, Chen MC, Jaung GY, Pang KK, Chen BF. Atypical skeletal tuberculosis mimicking tumor metastases: report of a case. J Formos Med Assoc 1995;94:428-31.
  • 7. Ramakrishnaiah VP, Jain V, Choon AT, Rao BH. Retroperitoneal cold abscess with tuberculosis of sacro-iliac joint and pubic bone: a case report of unusual presentation of osteo-articular tuberculosis. J Indian Med Assoc 2000;98:128-9.
  • 8. Balsarkar DJ, Joshi MA. Tuberculosis of pubic symphysis presenting with hypogastric mass. J Postgrad Med 2001;47: 54.
  • 9. Bayrakci K, Daglar B, Tasbas BA, Agar M, Gunel U. Tuberculosis osteomyelitis of symphysis pubis. Orthopedics 2006;29:948-50.
  • 10. Gulia J, Kim P, Kortepeter MG, Nguewou A, Waga M, Lai L. Multiple fractures of the symphysis pubis due to tuberculous osteomyelitis. Southeast Asian J Trop Med Public Health 2009;40:1279-83.
  • 11. Bali K, Kumar V, Patel S, Mootha AK. Tuberculosis of symphysis pubis in a 17 year old male: a rare case presentation and review of literature. J Orthop Surg Res 2010;5:63.
  • 12. Jackson JB. A case of tuberculosis of the symphysis pubis. Am J Roentgenol 1923;10:806.
  • 13. Nicholson OR. Tuberculosis of the pubis; report of eleven cases. J Bone Joint Surg Br 1958,40-B:6-15.
  • 14. Sexton DJ, Heskestad L, Lambeth WR, McCallum R, Levin LS, Corey GR. Postoperative pubic osteomyelitis misdiagnosed as osteitis pubis: report of four cases and review. Clin Infect Dis 1993;17:695-700.
  • 15. Ross JJ, Hu LT. Septic arthritis of the pubic symphysis: review of 100 cases. Medicine (Baltimore) 2003;82:340-5.
Acta Orthopaedica et Traumatologica Turcica-Cover
  • ISSN: 1017-995X
  • Başlangıç: 2015
  • Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
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