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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
PubMed
Abstract

Insights

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.
Keywords:
Salmonella Typhisacroiliitisseptic arthritis

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