Abstract: Introduction: Tuberculosis remains a major public problem for the developing countries. Osteoarticular tuberculosis represents 2% to 5% of all cases of tuberculosis, in that the sacroiliac joint is involved in 3–9.7%. Isolated tuberculosis of the sacrum is rarely reported; with Sacroiliac joint infections represent a diagnostic dilemma for their vague and non-specific clinical presentation.
Case report: A 26 yr Female presented with Pain, Swelling over left Buttock since 2 month with Low Backache, Limping was present with Constitutional symptom Loss of Appetite, Low grade Fever, Weight Loss. Patient was investigated then planned for surgery incision and drainage curettage was done and sends for biopsy. After laboratory tests diagnosed Tuberculosis Osteomyelitis and after proper duration of ATT drugs patient was cured.
Conclusion: So it is rare case at rare site Sacrum with reactionary Sacroiliac joint Tuberculosis with Gluteal Abscess. Clinical diagnosis of sacroiliac joint infection includes a thorough history and a meticulous examination of the lower back and the sacroiliac joint. Tuberculous sacroiliitis should be differentiated with various disorders. After confirmation of diagnosis with support of clinical features blood report biopsy ATT drugs given with proper duration and doses in Follow up serial x rays and bloods test was done. The prognosis of sacral tuberculosis is good, if a rapid and correct diagnosis is made and adequate treatment is provided with proper duration and drugs doses Indication of drainage of cold abscess was because It large volume which cannot treated conservatively, pressure effect causing severe pain, difficulty in sitting, definitive diagnosis of Infective Pathology.
