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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such as Proteus,...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
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Bacterial Meningitis I: Introduction

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Related Experiment Videos

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
Summary

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.

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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.