Multicentric tuberculosis at two rare sites in an immunocompetent adult

The case of a 20-year-old female who presented with refractory coccydynia and sternal pain is described. She was immunocompetent, and had no systemic features. She was diagnosed with tuberculosis of the sternal and coccygeal regions based on magnetic resonance imaging and histopathology of biopsy sp...

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Bibliographic Details
Published in:Journal of orthopaedics and traumatology 2011-12, Vol.12 (4), p.223-225
Main Authors: Singh, Saurabh, Nagaraj, Chethan, Khare, Ghanshyam N., Kumaraswamy, Vinay
Format: Article
Language:English
Subjects:
Biopsy
Case Report
Conservative Orthopedics
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Immunocompetence
Magnetic Resonance Imaging
Medicine
Medicine & Public Health
Mycobacterium
Orthopedics
Rheumatology
Sacrococcygeal Region
Sports Medicine
Sternum
Surgical Orthopedics
Traumatic Surgery
Tuberculosis, Osteoarticular - diagnosis
Tuberculosis, Osteoarticular - immunology
Young Adult
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Summary:The case of a 20-year-old female who presented with refractory coccydynia and sternal pain is described. She was immunocompetent, and had no systemic features. She was diagnosed with tuberculosis of the sternal and coccygeal regions based on magnetic resonance imaging and histopathology of biopsy specimens. Conservative management with oral multidrug antituberculous therapy completely cured the patient, and she had not suffered any recurrence after three years of follow-up. This case highlights the possibility of the multicentric presentation of tuberculosis at two rare sites in the same immunocompetent patient, even though the differential diagnosis was coccydynia.
ISSN:1590-9921
1590-9999
DOI:10.1007/s10195-011-0157-8