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Isolated iliac bone tuberculosis : a case report


Isolated iliac bone tuberculosis : a case report

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dc.contributor.author Ismail, Mostafa pl
dc.contributor.author Szmigielski, Wojciech pl
dc.contributor.author Sinha, Nitin Raj pl
dc.date.accessioned 2018-10-24T16:00:04Z
dc.date.available 2018-10-24T16:00:04Z
dc.date.issued 2009 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/58639
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/pl/legalcode *
dc.title Isolated iliac bone tuberculosis : a case report pl
dc.type JournalArticle pl
dc.description.physical 69-72 pl
dc.description.additional Bibliogr. s. 72 pl
dc.identifier.weblink http://archiwum.polradiol.com/abstract/index/idArt/878382 pl
dc.abstract.en Background: Isolated iliac bone tuberculosis is not easy for diagnosis as it can mimic many other conditions. The presentation of our case of isolated iliac bone tuberculosis with special emphasis to imaging findings is justified, by its rarity and not uncommon delay in diagnosis and therapy of such cases. Case Report: A case of isolated iliac bone tuberculosis, initially presented with low back pain and swelling, was unsuccessfully treated for three months before final diagnosis was established. Plain radiography revealed only slight sclerosis of the iliac side of the right sacro-iliac joint. MRI provided more precise and detailed information regarding the site, size and nature of the bony and soft tissue components of the lesion. The bony lesion showed low T1, high T2 signal and marginal enhancement on fat suppressed T1 post-gadolinium images. The soft tissue components also showed post-gadolinium enhancement and abscesses formation. CT scan confirmed the bony lytic lesion and provided guidance for biopsy. Histology confirmed tuberculous nature of the lesion. Conclusions: Imaging presentation of tuberculous osteomyelitis is nonspecific and may mimic many inflammatory and neoplastic conditions. Correlation with the patient's history, immune status, ethnicity, social environment is necessary in narrowing differential diagnosis. This means that iliac tuberculosis, despite its rarity, should be considered as one of diagnostic possibilities, especially in the patients from endemic areas. However, definitive diagnosis is best established with bone needle biopsy. pl
dc.subject.en tuberculosis pl
dc.subject.en bones pl
dc.subject.en musculoskeletal pl
dc.subject.en radiography pl
dc.subject.en MRI pl
dc.subject.en CT pl
dc.description.volume 74 pl
dc.description.number 1 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.date.accession 2018-10-24 pl
dc.subtype Article pl
dc.identifier.articleid 878382 pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl
dc.identifier.project ROD UJ / OP pl

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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa