Acute Pyogenic Sacroiliitis Without Predisposing Conditions

Doita, Minoru; Yoshiya, Shinichi; Nabeshima, Yuji; Tanase, Yoshihiro; Nishida, Kotarou; Miyata, Hiroshi; Watanabe, Yasushi; Kurosaka, Masahiro

doi:10.1097/01.brs.0000092481.42709.6f

Cited by 67 publications

(66 citation statements)

References 26 publications

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“…There is no specific blood test which points to the diagnosis of pyogenic sacroiliitis; white blood cells count may be increased or normal; ESR and CRP may be elevated in the majority of cases, but while they are sensitive, they may not be specific [12]. …”

Section: Discussionmentioning

confidence: 99%

Pyogenic Sacroiliitis in Children: Two Case Reports

Besbès

Haddad

Abid

et al. 2012

Case Reports in Medicine

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Pyogenic sacroiliitis is rare and accounts for approximately 1-2% of osteoarticular infections in children. Considerable delay between presentation and diagnosis is recognized. Two cases of pyogenic sacroiliitis are described. The first case is a 28-month-old girl presented with acute onset of fever, pain in the left hip, and limpness. Computed tomography (CT), bone scans, and magnetic resonance imaging (MRI) of the pelvis showed characteristic findings of infectious sacroiliitis, and blood cultures were negatives. The second case is a 13-year-old girl presented with acute onset of fever, pain in the right hip, and buttock, with inability to walk. The diagnosis of pyogenic sacroiliitis was confirmed by bone scans, and CT of the pelvis and blood cultures have identified Proteus mirabilis. The two children recovered fully after 6 weeks of antimicrobial therapy. Pyogenic sacroiliitis is an uncommon disease in children. The key to successful management is early diagnosis in which CT, bone scans, and MRI findings play a crucial role. If the diagnosis is established promptly, most patients can be managed successfully with antimicrobial therapy.

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Section: Discussionmentioning

confidence: 99%

Pyogenic Sacroiliitis in Children: Two Case Reports

Besbès

Haddad

Abid

et al. 2012

Case Reports in Medicine

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“…Nonspecific initial symptoms and physical examination findings sometimes make it difficult to diagnose, thus delaying appropriate treatment. It is a treatable condition with few long-term complications if appropriate treatment is initiated promptly [3, 4]. Low awareness of the clinical presentation and lack of knowledge of the diagnostic procedure usually lead to delay in diagnosis [2, 4].…”

Section: Introductionmentioning

confidence: 99%

Radiological Followup of the Evolution of Inflammatory Process in Sacroiliac Joint with Magnetic Resonance Imaging: A Case with Pyogenic Sacroiliitis

Çolak

Sanal

Yılmaz

et al. 2012

Case Reports in Rheumatology

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Pyogenic sacroiliitis (PS) is an acute form of sacroiliitis that mostly starts with very painful buttock pain. Here in this case, the followup magnetic resonance (MR) images of a 49-year-old male patient with PS is displayed. After his sacroiliitis was documented by MR images, he was treated with the combination of rifampicin plus streptomycin and moxifloxacin. Serial MR investigations were done to disclose acute and subsequent imaging changes concerning sacroiliac joint and surrounding bone structures. Although after treatment all the symptoms were completely resolved, 20 months later changes suggesting active sacroiliitis on MR images were continuing.

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“…Pyogenic sacroiliitis is a rare disorder, affecting between 1% and 2% of all patients with septic arthritis, which is probably due to the poor vascularisation of this joint, resulting in a low risk of infection via the haematogenous route [1, 8]. The diagnosis is difficult and often delayed owing to its clinical heterogeneity and the lack of symptom specificity [9].…”

Section: Discussionmentioning

confidence: 99%

“…Other mechanisms include direct invasion of the joint capsule or iatrogenic infection following surgical intervention or invasive procedures [12]. In adults, the most common predisposing risk factors are intravenous drugs use, pelvic trauma, infectious endocarditis, haemoglobinopathy, immunosuppressive treatment, and infections of the skin, respiratory, gastrointestinal, gynecological, and genitourinary tracts [8, 11]. …”

Section: Discussionmentioning

confidence: 99%

Pyogenic Sacroiliitis and Pyomyositis in a Patient with Systemic Lupus Erythematous

Chebbi¹,

Jerbi²,

Kessomtini³

et al. 2014

Case Reports in Rheumatology

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Pyogenic sacroiliitis and pyomyositis are uncommon infectious diseases and their diagnoses are often delayed. They are typically seen in children and young adults and are rare in middle-aged people especially in those affected by rheumatic diseases. We present the first case of a Staphylococcus aureus related pyogenic sacroiliitis associated with iliacus and gluteal pyomyositis occurring in a patient with systemic lupus erythematosus. Antibiotic treatment was administered for a total of 6 weeks with a total recovery. Pyogenic sacroiliitis and pyomyositis, although remaining rare events, should be remembered as severe complications in immunosuppressed patients with inflammatory diseases. Early clinical suspicion, imaging diagnosis, and adequate therapy are decisive for the satisfactory outcome.

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Acute Pyogenic Sacroiliitis Without Predisposing Conditions

Cited by 67 publications

References 26 publications

Pyogenic Sacroiliitis in Children: Two Case Reports

Pyogenic Sacroiliitis in Children: Two Case Reports

Radiological Followup of the Evolution of Inflammatory Process in Sacroiliac Joint with Magnetic Resonance Imaging: A Case with Pyogenic Sacroiliitis

Pyogenic Sacroiliitis and Pyomyositis in a Patient with Systemic Lupus Erythematous

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