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Disseminated tuberculosis with rare coccygeal involvement: a case report
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Sarra Baziaa1
, Adil Zegmout1, Mohamed Beaouiss1, Soufiane El Fathi1, Aniss Rafik1, Hicham Souhi1, Ismail Rhorfi1 and Hanane El Ouazzani1
Abstract
Tuberculosis (TB) is a preventable and usually curable disease but remains a major health problem worldwide, particularly in developing countries. TB of the lumbosacral junction is rare and occurs in only 1–2% of all cases of spinal TB. Moreover, isolated sacrococcygeal TB is extremely rare. We present a case of a 64-year-old patient with a history of diabetes who presented with chronic back pain and cough. Physical examinations revealed a perianal fistula and left elbow joint arthritis. The patient is diagnosed with disseminated TB with coccygeal involvement. Diagnosis was achieved non-invasively using Xpert MTB/RIF, confirming Mycobacterium tuberculosis infection. The patient experienced complete resolution of symptoms following the commencement of anti-TB therapy. We highlight the importance of this case due to the rare coccygeal localization of TB in an immunocompetent patient, diagnosed through non-invasive means.
- Received:
- Accepted:
- Published Online:
Keyword(s):
disseminated tuberculosis
,
elbow joint tuberculosis
,
immunocompetent
,
polymerase chain reaction (PCR)
and
sacrococcygeal tuberculosis
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