Tuberculosis of ischial tuberosity as a rare cause of gluteal pain: A case series of 9 patients with review of literature

Jain, Vijay Kumar; Iyengar, Karthikeyan P; Rana, Nipun; Agarwal, Anil; Botchu, Rajesh

doi:10.1016/j.jcot.2022.101852

Cited by 2 publications

(1 citation statement)

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“…In China, OATB accounts for 5-10% of all TB cases [4][5][6]. Tuberculosis of the ischium is uncommon, especially in the absence of pulmonary disease, with primary tuberculosis of the ischium being a diagnostic challenge for clinicians [7]. Here, we report a case in which an intramedullary cervical tuberculoma was successfully treated via a combination of surgery and antitubercular chemotherapy.…”

Section: Introductionmentioning

confidence: 99%

Tuberculosis infection of the ischium in a patient with poorly controlled diabetes mellitus: A case report

Huang,

Liu,

Ling

et al. 2024

Preprint

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Primary tuberculosis infection of the ischium is rare and challenging, particularly in immunocompromised patients. We present the case of a 74-year-old man with poorly controlled diabetes mellitus who developed persistent pain and swelling, even the sinus discharged from the left gluteal fold region. Imaging studies revealed lytic lesions in the ischium, cortical destruction, and soft tissue involvement. Histopathological examination confirmed that caseous necrosis occurred. The patient was initiated appropriate treatment for tuberculosis infection, and his symptoms improved without disease progression. Primary tuberculosis infection poses significant diagnostic challenges due to overlapping clinical and radiological features. Early recognition and a multidisciplinary approach involving infectious disease specialists, pulmonologists, radiologists, and surgeons are crucial for optimal management. The prognosis of this infection is poor, emphasizing the importance of timely diagnosis and treatment. To improve outcomes, comprehensive screening and early detection of infections in high-risk patients, such as those with uncontrolled diabetes, are essential. Future advancements in diagnostic tools may facilitate prompt and accurate diagnosis. Clinicians should maintain a high index of suspicion and employ appropriate diagnostic techniques to ensure early identification and effective management of these complex infections.

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Section: Introductionmentioning

confidence: 99%