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Published on: September 22, 2019
Sacroiliitis due to Salmonella Typhi: A case report
Serhat Avcu1, Osman Menteş, Mehmet Deniz Bulut
1Department of Radiology, Yüzüncü Yıl University School of Medicine, Van, Turkey.
North American Journal of Medical Sciences
|May 25, 2012
Summary
This case report details a rare instance of sacroiliitis caused by Salmonella Typhi infection. Early recognition is crucial for effective treatment of this uncommon complication.
Area of Science:
- Infectious Diseases
- Rheumatology
- Medical Imaging
Background:
- Pyogenic sacroiliitis is rare, typically caused by Staphylococcus aureus, Streptococcus, or Pseudomonas aeruginosa.
- These pathogens are often associated with intravenous drug use.
- This paper presents an unusual case of sacroiliitis attributed to Salmonella Typhi.
Observation:
- A 20-year-old woman presented with fever, headache, and diarrhea.
- Blood cultures confirmed Salmonella Typhi infection.
- Clinical symptoms and diagnostic imaging (MRI, scintigraphy) indicated left sacroiliitis.
Findings:
- Salmonella Typhi, a bacterium usually associated with enteric fever, was identified as the causative agent of sacroiliitis.
- The patient experienced hip pain, which, along with imaging, confirmed the joint infection.
- This highlights an atypical presentation of Salmonella Typhi.
Implications:
- Salmonella Typhi should be considered in the differential diagnosis of sacroiliitis, especially in patients with relevant clinical history.
- This case underscores the importance of considering unusual pathogens in infectious sacroiliitis.
- Prompt diagnosis and appropriate antimicrobial therapy are essential for managing this rare condition.
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