A persistent case of tuberculosis of the pubic symphysis and pubic bone

A case of a patient suffering from tuberculosis of the pubic symphysis and pubic bone is presented. There were no symptoms other than pain in the right groin area for 12 months. An X-ray of the pelvis showed an osteodestructive lesion of the pubic bone, and an MRI revealed an abscess formation of th...

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Main Authors: Dapunt, Ulrike A. (Author) , Mischnik, Alexander (Author) , Macher-Göppinger, Stephan (Author) , Lehner, Burkhard (Author)
Format: Article (Journal)
Language:English
Published: 8 March 2014
In: BMJ case reports
Year: 2014, Pages: 1-4
ISSN:1757-790X
DOI:10.1136/bcr-2013-203456
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1136/bcr-2013-203456
Verlag, lizenzpflichtig, Volltext: https://casereports.bmj.com/content/2014/bcr-2013-203456
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Author Notes:Ulrike Dapunt, Alexander Mischnik, Stephan Goeppinger, Burkhard Lehner
Description
Summary:A case of a patient suffering from tuberculosis of the pubic symphysis and pubic bone is presented. There were no symptoms other than pain in the right groin area for 12 months. An X-ray of the pelvis showed an osteodestructive lesion of the pubic bone, and an MRI revealed an abscess formation of the pubic symphysis. Tissue samples were collected via CT-guided needle biopsy. Histological evaluation of tissue and analysis by PCR prompted the diagnosis of musculoskeletal tuberculosis. Despite antituberculous chemotherapy according to the current guidelines, the osteodestructive lesion progressed. This case highlights the difficulty of treating bone infections in general. Moreover, Mycobacterium tuberculosis as a rare causative agent of bone infections is discussed.
Item Description:Gesehen am 10.11.2020
Physical Description:Online Resource
ISSN:1757-790X
DOI:10.1136/bcr-2013-203456