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Il Giornale Italiano di Radiologia Medica 2018 Marzo-Aprile;5(2):273-6

DOI: 10.23736/S2283-8376.18.00048-7

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Tuberculosis of the ischium: a rare localization of extrapulmonary tuberculosis

Elio BIGNARDI 1 , Francesco BACCARO 1, Daniela DE SANTO 1, Rosa FILIPPELLI 1, Cristiana PALUMBO 1, Eugenio ROSSI 2, Massimo ZECCOLINI 3, Michele COPPOLA 1

1 U.O.C. Diagnostica per Immagini, Ospedale Cotugno, Napoli, Italia; 2 U.O.S.D. Radiologia ed Ecografia Ospedale Pausillipon, A.O.R.N. Santobono-Pausillipon, Napoli, Italia; 3 U.O.C. Radiologia Ospedale Santobono, AORN Santobono-Pausillipon, Napoli, Italia


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Tuberculosis (TB) is usually confined clinically to the respiratory system. However, it can affect any organ or system. Osteoarticular TB is uncommon. The spine is the most common site of osteoarticular TB. Tuberculosis of the ischium is a extremely rare condition. We report here a case of 42-year-old male, black, African, immigrant, HIV+. He presented with pain in the buttock and a swelling on the medial side of the upper part of the thigh. MDTC was performed. MDTC appearance includes irregular foci of osteolysis in the ischium with surrounding eburnation. Diagnosis was established on history, clinical and radiological findings. The patient was successfully treated with antitubercular drugs.


KEY WORDS: Tuberculosis, osteoarticular - Ischium - Multidetector computed tomography

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