Left, right os coxa and sacrum of an adult with tuberculosis.

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Pathology description

On the anterior surface of the vertebral bodies and the right ala (the left has taphonomic damage), there is a continuous layer of new compact bone with irregular areas of remodelled destructive changes continuing into the visible surface in the foramina. There is a delineated area of cortical destruction leaving a scooped out appearance that has a superior border of spiculated new woven bone. This is all in the immediate area of where the rectum is located and is possible evidence of gastrointestinal tuberculosis. On the posterior surface there is destructive remodelling and pitting along the sacral spine. The right half of the sacral auricular surface has been destroyed, and the superior surface is disorganised with irregular new compact bone. On the left sacral auricular surface there are four large, destructive pits/pores, which may be evidence of tuberculosis of the sacroiliac joint.

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