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Case Reports in Orthopedics
Volume 2016 (2016), Article ID 7286806, 5 pages
http://dx.doi.org/10.1155/2016/7286806
Case Report

A Rare Case of Tuberculosis with Sacrococcygeal Involvement Miming a Neoplasm

1Department of Orthopedic Surgery, MES Medical College, Sahloul University Hospital, 4051 Sousse, Tunisia
2MES Medical College, Sahloul University Hospital, 4051 Sousse, Tunisia
3Department of Rheumatology, MES Medical College, University Farhat Hached Hospital, 4051 Sousse, Tunisia
4Department of Orthopedics, MES Medical College, Sahloul University Hospital, 4051 Sousse, Tunisia

Received 8 February 2016; Accepted 27 June 2016

Academic Editor: Ali F. Ozer

Copyright © 2016 Walid Osman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Infection of the lumbosacral junction by tuberculosis is quite rare and occurs in only 1 to 2% of all cases of spinal tuberculosis; moreover, isolated sacrococcygeal or coccygeal tuberculosis is much rarer. Failure to identify and treat these areas of involvement at an early stage may lead to serious complications such as vertebral collapse, spinal compression, and spinal deformity. In the present paper, we report an uncommon case of spinal tuberculosis with sacrococcygeal location revealed by a chronic low back pain that was successfully managed. Computed tomography scan and magnetic resonance imaging of the pelvis revealed a lytic lesion affecting both of sacrum and coccyx causing osseous destruction and suggesting a malignant process. A surgical biopsy was performed to establish the tissue diagnosis. Histopathological report confirmed the diagnosis of skeletal tuberculosis. The patient was treated with antibacillary chemotherapy for a period of 9 months. The follow-up period was of 36 months. There was a full recovery and the patient was asymptomatic.