J Korean Hip Soc.  2011 Mar;23(1):79-82. 10.5371/jkhs.2011.23.1.79.

Tuberculosis Infection of the Ischial Tuberosity and That Recurred after 8 Years: A Case Report

• Kwon SE
• Jung IH
• Kim DH

• KMID: 2190780
• DOI: http://doi.org/10.5371/jkhs.2011.23.1.79

Abstract

Tuberculous infection of the ischium is a rare condition. It is recommended that antituberculosis chemotherapy is combined with surgical intervention. The patient in this case had an abscess on his right gluteal region and he had undergone an operation without antituberculosis chemotherapy. After eight years, an abscess recurred in the same area and he was treated with surgical resection. Antituberculosis chemotherapy was administered following histopathological confirmation of tuberculosis. At 1 year postoperatively, the patient had no pain and there was no evidence of recurrence.

Keyword

Pelvis; Ischial tuberosity; Tuberculosis; Recurrent

MeSH Terms

Abscess
Buttocks
Humans
Ischium
Pelvis
Recurrence
Tuberculosis

Figure

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  Fig. 1 Perianal fistula caused by abscess of the right ischial tuberosity.

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  Fig. 2 X-ray shows multifocal bony destructive lesion with round shape.

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  Fig. 3 CT scan showing areas of relatively well demarcated low density shades between the gluteus maxmius muscle and the ischial tuberosity.

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  Fig. 4 MRI showing enhancement of the marginal increase in signal extending along the hamstring muscle in (A) axial, (B) coronal, and (C) sigittal sections.

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  Fig. 5 A posterior surgical approach to the ischium.

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  Fig. 6 The removed tissue showed a cheese like appearance and was closed to the pattern of caseous necrosis.

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