Pyogenic sacroiliitis in pregnancy

Jedwab, M; Ovadia, Shmouel; Dan, Michael

doi:10.1016/s0020-7292(99)00041-7

Cited by 19 publications

(18 citation statements)

References 4 publications

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“…The onset of illness was during pregnancy in six cases (40%) 1,4,6,10,11 (including this case) within 3 weeks of delivery in six instances (40%) 3,5,[7][8][9] and within 3 weeks of abortion in three cases (20%) 7,11,12 . Among the postpartum cases, forceps outlet delivery was utilized in one case, 9 days prior to presentation 9 . In addition, delivery was complicated by an episode of chills and bleeding within 24 hours of vaginal delivery in one case 5 , and by high fever with disseminated intravascular coagulopathy and fetal distress in another case 5 .…”

Section: Resultsmentioning

confidence: 85%

Pregnancy‐Associated Pyogenic Sacroiliitis: Case Report and Review

Almoujahed

Khatib

Baran

2002

Infectious Diseases in Obstetrics and Gynecology

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Background: Pyogenic sacroiliitis occurs infrequently during the peripartum period. Case: A case at our institution and a review of the literature were analyzed. A total of 15 cases were discovered. The onset of illness was during pregnancy (40% of cases), within 3 weeks postpartum (40%) or post-abortion (20%), and the presentation was usually acute (< 7 days in 67% of cases). Frequent manifestations included localized pain in the hips or buttock, sacroiliac joint tenderness and fever. Computed tomography or magnetic resonance imaging revealed joint involvement in all cases tested. Microbiology was confirmed by blood (40%) or joint aspirate (75%), and most patients were treated with antibiotics. Surgical intervention took place in five cases. Preterm labor was reported in only one case. All patients responded well to therapy without locomotive disability, and persistent pain was uncommon. Conclusion: Septic sacroiliitis should be considered in peripartum patients who present with fever and severe localized pain. Medical management is usually curative, and without an adverse effect on pregnancy.

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Section: Resultsmentioning

confidence: 85%

Pregnancy‐Associated Pyogenic Sacroiliitis: Case Report and Review

Almoujahed

Khatib

Baran

2002

Infectious Diseases in Obstetrics and Gynecology

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“…As the patient was suffering severely from pain, the decision to perform a caesarean section was made on the basis of avoiding pain and joint distraction during delivery. There is no consensus on the appropriate way for delivery of patients with active pyogenic sacroiliitis [6]. …”

Section: Discussionmentioning

confidence: 99%

Septic shock in pregnancy due to pyogenic sacroiliitis: a case report

et al. 2009

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IntroductionLower back pain due to sacroiliac joint dysfunction is a common symptom during pregnancy. However, infection of the sacroiliac joint is rare, even more so if no predisposing factors are present.Case presentationAfter the onset of unspecific acute pain in the left buttock region, a 31-year-old pregnant woman developed septic shock due to pyogenic sacroiliitis. The medical and obstetric management, treatment applied and patient's experience are described.ConclusionThe correct diagnosis and treatment of pyogenic sacroiliitis during pregnancy may avoid joint and bone destruction in addition to maternal and fetal complications.

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“…Pregnant and postpartum women are at particular risk because of microscopic damage to the pelvic joints and ligaments that occurs during delivery 2,9 . In the literature, all cases of postpartum septic sacroiliitis involved one side, except for two cases that showed bilateral involvement 1,10 . Of note, the left side was involved in most of the primary cases [9][10][11] ; even in the single report that described bilateral involvement from that group, the pain had initially started on the left side 1 . In contrast, our patient had right-side involvement.…”

Section: Discussionmentioning

confidence: 99%

Postpartum Enterobacter Pyogenic Sacroiliitis

Hadidi

Bakri

Mughli

et al. 2013

JBJS Case Connector

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P ostpartum pyogenic sacroiliitis is a rare condition. Accurate diagnosis is frequently delayed because of poor localization of initial symptoms and the rarity of this disorder. Pyogenic sacroiliitis has been related to trauma, intravenous drug abuse, and gynecological infections 1-3 , but it is rare without a predisposing factor. We report the case of a thirty-one-year-old woman with postpartum pyogenic sacroiliitis caused by the Enterobacter species, and we also provide a review of the pertinent literature. The patient was informed that data concerning the case would be submitted for publication, and she provided consent. Case ReportA thirty-one-year-old woman (gravida 4, para 4) presented to our emergency department with symptoms of fever and pain in the right buttock for three days. The pain had begun two hours after a normal vaginal delivery. The past medical history noted sclerotherapy for varicose veins on both lower extremities two years earlier. The patient denied any recent history of intramuscular drug injection. Vital signs included a temperature of 38.8°C and a pulse rate of 99. On physical examination, there was limitation of right hip motion and a positive test for flexion, abduction, and external rotation (FABER). The right leg had normal muscle strength, with no swelling, warmth, or erythema.Laboratory studies, including complete blood-cell count as well as kidney and liver function tests, were normal except for leukocytosis (white blood-cell count: 14 · 10 9 /L; lymphocytes: 9%; neutrophils: 84%), an elevated C-reactive protein level of 132 mg/L (normal, less than 5 mg/L), and an elevated erythrocyte Fig. 1 Fig. 2

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Pyogenic sacroiliitis in pregnancy

Cited by 19 publications

References 4 publications

Pregnancy‐Associated Pyogenic Sacroiliitis: Case Report and Review

Pregnancy‐Associated Pyogenic Sacroiliitis: Case Report and Review

Septic shock in pregnancy due to pyogenic sacroiliitis: a case report

Postpartum Enterobacter Pyogenic Sacroiliitis

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