Pyogenic Sacroiliac Arthritis: A Case Report
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Abstract
Pyogenic sacroiliac arthritis is a rare entity. The most common bacterial organismis Staphylococcus aureus. More than 50% of cases have underlying diseases, for instance,trauma, immune deficiency, psoriasis, rheumatoid arthritis, post acupuncture and pelvicinflammation etc. In healthy persons, the arthritis is connected to sport medicine, overexercise, bike riding, and running and so on. Mild and nonspecific symptoms fever,lower back pain, gluteal or hip pain are presented. Radiographic image, computetomography (CT) and/or magnetic resonance image (MRI) with gadolinium (Gd) studyare recommended. Adequate and appropriate antibiotics are the initial treatment. Surgicalneedle aspiration and drainage is essential in case of no response to antibiotics, and isrecommended in chronic form debridement and arthrodesis.
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References
2. Tseng YC, Yang YS, Wu YC, et al. Infectious sacroiliitis caused by Staphylococcus aureus following acupuncture: a case report. Acupunct Med 2014;32(1):77-80.
3. Taylor ZW, Ryan DD, Ross LA. Increased incidence of sacroiliac joint infection at a children’s hospital. J Pediatr Orthop 2010;30:893-8 2010;30(8):893-8.
4. Molinos Quintana A, Morillo Gutiérrez B, Camacho Lovillo MS, et al. Pyogenic sacroiliitis in children-a diagnostic challenge. Clin Rheumatol 2011;30(1):107-13.
5. Muzio BD, Radswiki, et al. Septic arthritis. (Accessed June 2, 2017, at https://radiopaedia.org/articles/septic-arthritis).
6. Attarian DE. Septic sacroiliitis: the overlooked diagnosis. J South Orthop Assoc 2001;10(1):57-60.
7. Ahmed H, Siam AE, Gouda-Mohamed GM, et al. Surgical treatment of sacroiliac joint infection. J Orthop Traumatol 2013;14(2):121-9.