Septic arthritis of the sacroiliac joint

Woytala, Patryk; Sebastian, Agata; Blach, K; Silicki, Jurand; Wiland, Piotr

doi:10.5114/reum.2018.74752

Cited by 11 publications

(24 citation statements)

References 25 publications

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“…Many authors recommend 2-3 months of non-weight-bearing [2]. Long-term outcome is lacking in most of the series and case reports [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]. Chronic SI-joint pain is reported in a high proportion of cases (33% to 43.5%) [3,22,23].…”

Section: Discussionmentioning

confidence: 99%

Management of Instability following Pyogenic Sacroiliitis: Technical Case Report

Passaplan

Simonin

Maestretti

et al. 2020

Case Reports in Orthopedics

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Background. Septic arthritis of the sacroiliac joint (SI-joint) is a rare and often delayed diagnosis. Management usually consists of intravenous antibiotics and debridement of infected tissue. However, very few reports consider the management of the secondary instability of the sacroiliac joint. Case Presentation. We report a case of a 16-year-old girl diagnosed with S. aureus pyogenic sacroiliitis who benefited from aggressive surgical debridement and primary arthrodesis for infection-related SI-joint instability in the acute infection phase. Conclusion. Diagnosis of pyogenic sacroiliitis is often delayed. Destruction of the joint can lead to chronic pain and instability. In cases of obvious intraoperative instability, primary arthrodesis could be considered in young patients.

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Section: Discussionmentioning

confidence: 99%

Management of Instability following Pyogenic Sacroiliitis: Technical Case Report

Passaplan

Simonin

Maestretti

et al. 2020

Case Reports in Orthopedics

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“…Septic arthritis is joint inflammation caused by an infectious etiology. Septic arthritis can be caused by bacterial (>95% all cases), fungal, parasitic, mycobacterial, viral, or other uncommon pathogens and is usually monoarticular [4,5]. The most frequently affected joint is the knee, followed by the hip, shoulder, and elbow [6].…”

Section: Discussionmentioning

confidence: 99%

“…The most frequently affected joint is the knee, followed by the hip, shoulder, and elbow [6]. The incidence of septic arthritis is rare, with between two and six cases per 100,000 people, with higher rates in pediatric populations or in patients with rheumatoid arthritis and endoprosthetic joints [4]. A subcategory of septic arthritis is septic sacroiliitis, which is a pyogenic infection of the sacroiliac joint with about 1%-2% of all cases affecting the SI joint [4].…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of septic arthritis is rare, with between two and six cases per 100,000 people, with higher rates in pediatric populations or in patients with rheumatoid arthritis and endoprosthetic joints [4]. A subcategory of septic arthritis is septic sacroiliitis, which is a pyogenic infection of the sacroiliac joint with about 1%-2% of all cases affecting the SI joint [4]. If left untreated, some complications of septic sacroiliitis include rapid joint destruction, abscess formation, and osteomyelitis [7].…”

Section: Discussionmentioning

confidence: 99%

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Suspected Septic Sacroiliitis Following Recent Cesarean Section Under Spinal Anesthesia

Nutcharoen

Salih

Volio³

et al. 2020

Cureus

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Septic sacroiliitis is sacroiliac (SI) joint inflammation secondary to microbial invasion of the synovial space characterized by tenderness over the sacroiliac joint, difficulty walking, and lower back pain that can radiate to the buttocks. Clinicians can easily overlook septic sacroiliitis as a potential diagnosis due to its rare occurrence and non-specific symptoms. A 30-year-old female (G2P2A0) who presented acutely to the ED nine days after an uncomplicated Cesarean section performed under spinal anesthesia. The patient experienced progressive lancinating, electric-shock pain originating from the coccyx radiating to the right buttock and lower back with the inability to bear weight. MRI pelvis demonstrated edematous changes of the right SI joint, indicative of septic sacroiliitis. Patient's condition improved after empiric intravenous antibiotics and was discharged home on the continued intravenous course. Rapid empiric administration of intravenous antibiotics may have prevented the onset of severe complications of an infective SI joint.

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“…Septic sacroiliitis is generally unilateral and causes backache, the onset of which can be subacute. In addition, patients with septic sacroiliitis may have signs or symptoms of an infection, including fever, chills, or weight loss [ 49 , 62 ]. It can be distinguished from SpA on MRI by the presence of thick capsulitis, extracapsular fluid collection, and periarticular muscle edema; periarticular muscle edema has been identified as the strongest predictor of a differential diagnosis of infectious sacroiliitis and SpA [ 48 , 62 ].…”

Section: Main Textmentioning

confidence: 99%

Differentiating nonradiographic axial spondyloarthritis from its mimics: a narrative review

Mease

Deodhar

2022

BMC Musculoskelet Disord

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Background Optimal treatment of nonradiographic axial spondyloarthritis depends on accurate and timely diagnosis of the underlying disease; however, patients present with common symptoms that, in the absence of radiographic changes, may confound diagnosis. Methods and findings In this narrative review, a PubMed literature search was conducted through January 2021, with no date limits, to identify English-language publications discussing classification of nonradiographic axial spondyloarthritis, with an emphasis on clinical features and presentation, differential diagnoses, and mimics of disease. This review describes the epidemiology, clinical features, and burden of disease of nonradiographic axial spondyloarthritis as it relates to the overall axial spondyloarthritis spectrum and discusses mimics and differential diagnoses of nonradiographic axial spondyloarthritis that should be considered when evaluating patients with suspected nonradiographic axial spondyloarthritis in clinical practice. Conclusions Recognition of clinical features of nonradiographic axial spondyloarthritis, along with an understanding of comorbid conditions such as fibromyalgia, allows for differentiation from its mimics. Appropriate diagnosis of nonradiographic axial spondyloarthritis is important for aggressive management of disease to reduce pain, avoid loss of function, and improve quality of life.

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Septic arthritis of the sacroiliac joint

Cited by 11 publications

References 25 publications

Management of Instability following Pyogenic Sacroiliitis: Technical Case Report

Management of Instability following Pyogenic Sacroiliitis: Technical Case Report

Suspected Septic Sacroiliitis Following Recent Cesarean Section Under Spinal Anesthesia

Differentiating nonradiographic axial spondyloarthritis from its mimics: a narrative review

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