tailieunhanh - báo cáo hóa học:" Tuberculosis of symphysis pubis in a 17 year old male: a rare case presentation and review of literature"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Tuberculosis of symphysis pubis in a 17 year old male: a rare case presentation and review of literature | Bali et al. Journal of Orthopaedic Surgery and Research 2010 5 63 http content 5 1 63 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH CASE REPORT Open Access Tuberculosis of symphysis pubis in a 17 year old male a rare case presentation and review of literature Kamal Bali Vishal Kumar Sandeep Patel Aditya K Mootha Abstract Tuberculosis of symphysis pubis is a rare condition with hardly any report of such cases in the last decade. It is necessary to distinguish the entity from more common ones like Osteitis pubis and Osteomyelitis of pubis symphysis by urgent means in order to start the treatment early and thereby minimize morbidity and prevent complications. A rare case of tuberculosis of symphysis pubis in a 17 year old male is described. A high index of suspicion along with an extensive workup including 3-phase bone scan and fine needle aspiration led to the diagnosis. The patient had an excellent outcome following a complete course of multidrug chemotherapy for tuberculosis. Background Inflammation of the symphysis pubis can be non infective osteitis pubis or infective osteomyelitis in nature. Osteitis pubis is generally a self limiting inflammation of the pubic symphysis secondary to trauma pelvic surgery childbirth or overuse 1 . Osteomyelitis of the pubic symphysis is a rare condition mostly bacterial in etiology with risk factors being trauma low grade infection urological and gynaecological procedures p elvic malignancies and intravenous drug use 2 . Tuberculosis of the pubis symphysis is still uncommon with 9 cases reported in the past 3 decades. However in the pre-chemotherapy era in the earlier part of the century upto 100 cases have been reported which have all been diagnosed in advanced stages. We hereby report a case of tuberculosis of pubic symphysis diagnosed early and treated accordingly with Anti Tubercular Therapy. Case presentation A 17 year old male from low socioeconomic background presented with complaints of a dull aching .