Case 65: The Case for Not Repeating a Biopsy in Suspected Tuberculous Infections

Last week, I spoke about repeating a biopsy in a patient with suspected malignancy, who had a negative biopsy the first time. Today, it is about not repeating a biopsy, but waiting for all the results to come in.

This is a 22-years old boy with a right sacroiliac joint pathology that was mistaken for some time to be an osteoid osteoma. In the same way that I have explained earlier, I performed the biopsy under sedation, in the prone position. Following the biopsy, the GeneXpert/PCR was negative and the infectious disease physician wanted an immediate repeat biopsy. The video explains what happened and why as a radiologist you should stand your ground based on facts and common sense