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Pyogenic sacroiliitis in children: two case reports

L Ghedira Besbes1, S Haddad, A Abid

  • 1Pediatric Department, Fattouma Bourguiba Hospital, 5000 Monastir, Tunisia.

Case Reports in Medicine
|July 26, 2012
PubMed

Insights

Pyogenic sacroiliitis, a rare pediatric bone infection, often has delayed diagnosis. Early detection using imaging like CT and MRI is key for successful treatment with antibiotics.

Area of Science:

  • Pediatric infectious diseases
  • Musculoskeletal infections
  • Radiology

Background:

  • Pyogenic sacroiliitis is a rare osteoarticular infection in children, representing 1-2% of cases.
  • A significant delay in diagnosis is commonly observed in pediatric patients.
  • Prompt diagnosis and treatment are crucial for favorable outcomes.

Purpose of the Study:

  • To describe two cases of pyogenic sacroiliitis in children.
  • To highlight the diagnostic role of imaging modalities in pediatric pyogenic sacroiliitis.
  • To emphasize the importance of early diagnosis for effective management.

Main Methods:

  • Case report of two pediatric patients diagnosed with pyogenic sacroiliitis.
  • Utilized computed tomography (CT), bone scans, and magnetic resonance imaging (MRI) for diagnosis.
  • Blood cultures were performed to identify causative pathogens.

Main Results:

  • Two pediatric cases presented with fever, hip/buttock pain, and gait disturbance.
  • Imaging studies (CT, bone scans, MRI) revealed characteristic findings of infectious sacroiliitis.
  • One case identified Proteus mirabilis; both patients recovered with 6 weeks of antimicrobial therapy.

Conclusions:

  • Pyogenic sacroiliitis is an uncommon but treatable pediatric condition.
  • CT, bone scans, and MRI are essential for early and accurate diagnosis.
  • Timely diagnosis and appropriate antimicrobial therapy lead to full recovery.

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