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Acupuncture and postpartum pyogenic sacroiliitis: a case report
Farida Millwala1, Shuo Chen2, Vladislav Tsaltskan3
1Department of Internal Medicine, George Washington University Hospital, 900 23rd St NW, Washington, DC, 20037, USA. fmillwala@mfa.gwu.edu.
Introduction:
Pyogenic sacroiliitis, a rare form of septic arthritis, occurs in patients following trauma, intravenous drug use, genitourinary infections and pregnancy. Here we report a rare case where both acupuncture and pregnancy served as predisposing risk factors to the development of this infection.
Case Presentation:
A 33-year-old white woman received several sessions of acupuncture treatment during her gestation at the site of her sacroiliac joint for sciatica; she developed biopsy-confirmed sacroiliitis with methicillin-sensitive Staphylococcus aureus during the immediate postpartum period. The diagnosis, medical management and treatment course are described.
Conclusions:
Low back and pelvic pain are common conditions during pregnancy and postpartum. Acupuncture is a common modality of medication-free treatment used by many patients. Recognition of the potential complications of such therapies can lead to early diagnosis, accurate treatment, decreased morbidity and increased chances for a successful outcome.
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