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[Septic sacroiliitis: case report].

J Marques Filho1

  • 1Depto de Clinica Médica, Santa Casa de Araçatuba, São Paulo.

Jornal De Pediatria
|July 1, 1996
PubMed
Summary

Bacterial pyogenic sacroiliitis, a rare infection, can be challenging to diagnose, potentially leading to severe symptoms and requiring surgical intervention. Prompt diagnosis and antibiotic treatment are crucial for recovery, as illustrated by a pediatric case study.

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Area of Science:

  • Infectious Diseases
  • Orthopedics
  • Pediatrics

Context:

  • Bacterial pyogenic sacroiliitis is an uncommon condition often presenting diagnostic challenges.
  • Delayed diagnosis can result in significant patient morbidity, including toxemia and the need for surgical joint drainage.

Purpose:

  • To report the clinical and laboratory findings of a pediatric case of bacterial pyogenic sacroiliitis.
  • To discuss the diagnostic and therapeutic strategies for this rare condition based on the presented case and existing literature.

Summary:

  • A 12-year-old girl presented with low back and leg pain, ultimately diagnosed with sacroiliitis caused by Oxacillin-sensitive Staphylococcus aureus.
  • Diagnostic modalities included bone scintigraphy and radiologic imaging, confirming sacroiliitis.
  • Treatment involved antibiotic therapy, leading to a prolonged but complete recovery with residual low back pain.

Impact:

  • Highlights the importance of considering rare infections like pyogenic sacroiliitis in pediatric patients with persistent musculoskeletal pain.
  • Emphasizes the need for timely diagnosis and appropriate management to prevent complications and ensure favorable outcomes.
  • Contributes to the understanding of Staphylococcus aureus as a causative agent in pediatric sacroiliitis.

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