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-MRI of sacrum and both SI joints at initial presentation. (A) Coronal T2 image showing mild erosions, effusion, and minimal fluid collection at the inferior region of the right SI joint; (B) axial T1 fat suppression image.

-MRI of sacrum and both SI joints at initial presentation. (A) Coronal T2 image showing mild erosions, effusion, and minimal fluid collection at the inferior region of the right SI joint; (B) axial T1 fat suppression image.

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A 23-year-old female on anti-tubercular therapy for tuberculous sacroiliitis presented with right sided gluteal and thigh abscess. Suspecting treatment failure, surgical evacuation of purulent material was done. The bacteriological isolation showed positivity for methicillin-resistant Staphylococcus aureus. Although the microbiological and histopat...

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... serology were negative for immunological disorders. Further, Mantoux test and tubercular gamma interferon assay were strongly positive. The plain radiographs of the chest and lumbosacral spine appeared normal; however, the magnetic resonance imaging (MRI) of the sacrum and both SI joints demonstrated effusions and mild erosions in the right side (Fig. 1). These initial reports led to the provisional diagnosis of TS. She was started on a four-drug anti-tubercular regime (isoniazid, rifampicin, pyrazinamide, and ...

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