Pyogenic sacroiliitis in the child and young adult. Three case reports

Sambricio, A. Mora-de; Marimón-Juan, I.; Rius-Dalmau, M.; Pérez-López, A.

doi:10.1016/s1988-8856(11)70294-2

Cited by 1 publication

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“…Pyogenic sacroiliitis has a predilection for the iliac side of the sacroiliac joint as a result of the protection afforded by the increased thickness of cartilage on the sacral side 8 . 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 .…”

Section: Discussionmentioning

confidence: 99%

Postpartum Enterobacter Pyogenic Sacroiliitis

Hadidi

Bakri

Mughli

et al. 2013

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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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Section: Discussionmentioning

confidence: 99%