Aspiration of infected sarco-iliac joints.

Sacroiliac joint tuberculosis

“…A diagnostic aspiration or closed needle biopsy of the sacroiliac joint is appropriate when the disease is in its early stages with minimal joint destruction [9,11,12,15,20]. Pyogenic infections and other atypical infections must be excluded.…”

Sacroiliitis and Septicemia Caused by Campylobacter rectus and Actinomyces odontolyticus

“…Blood cultures provide a presumptive etiology in 23% of cases; when blood cultures carmot identify the responsible agent, fluoroscopic guided fine needle aspiration, as described by Miskew eta! (9). is positive in 82% of cases.…”

“…In the next few hours, the patient deteriorated with fever up to 40°C, septic shock and adult respiratory distress syndrome. White blood cell count was 16.2xl0 9 /L with a left shift, hemoglobin 98 g/L, platelets 83xl0 9 /Land erythrocyte sedimentation rate 58 mm/h. Hemodynamic and ventilatory support was provided.…”

“…The patient was transferred 48 h later to our hospital with fever of 39°C and white blood cell count of 18.2xl0 9 /L. Computed tomography (CT) scan of the abdomen and pelvic cavity demonstrated asymmetry of the musculature anterior to the left sacroiliac joint with enlargement of iliacus, pyriformis and obturator internus muscles.…”

Infantile infectious sacroiliitis

“…A specific organism can be isolated via a needle aspiration under biplane fluoroscopy [1, 3,13,17], or with CT guidance [18]. CT should also be performed to exclude sequestra and/ or abscess formation in the child who does not respond to intravenous antibiotics.…”