[Septic sacroiliitis: early diagnosis due to specific physical examination]. / Septische sacroiliitis.
Ned Tijdschr Geneeskd
; 1682024 04 22.
Article
em Nl
| MEDLINE
| ID: mdl-38661184
ABSTRACT
BACKGROUND:
Septic sacroiliitis is an uncommon disease which represents approximately 1-4% of all joint infections, therefore it is difficult to make the right diagnosis and to start early treatment. CASE REPORT A 18 year old woman was admitted to the emergency room with a fever and pain in the left gluteal region. The patient was considered healthy and had no risk factors for septic arthritis. Edema and a small abscess was found in and around the left sacroiliac joint on pelvic MRI. The patient had positive blood cultures with Staphylococcus Aureus. Antibiotic treatment was initiated and lasted 7 weeks. She recovered completely and had no remaining complaints.CONCLUSION:
Physical exam and clinical suspicion are important to consider the diagnosis of septic sacroiliitis. In addition a MRI of the pelvic is the best radiographic exam to conform the diagnosis.
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Base de dados:
MEDLINE
Assunto principal:
Exame Físico
/
Infecções Estafilocócicas
/
Imageamento por Ressonância Magnética
/
Artrite Infecciosa
/
Sacroileíte
/
Antibacterianos
Idioma:
Nl
Ano de publicação:
2024
Tipo de documento:
Article