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[Pyogenic sacroiliac arthritis in children. Apropos of 6 cases]
R Sijelmassi1, J F Mallet, P Delmas
1Service de chirurgie infantile, CHU Côte-de-Nacre, Caen, France.
Insights
Pyogenic sacroiliac joint arthritis is rare in children. Early diagnosis via specific examination and imaging, like skeletal scintigraphy, is crucial for prompt treatment and excellent functional recovery with antibiotics and rest.
Area of Science:
- Pediatric infectious diseases
- Pediatric rheumatology
- Musculoskeletal infections
Abstract:
Pyogenic arthritis of the sacro-iliac joint is uncommon in children; 6 cases were observed over 4 years. The diagnosis may be difficult and should include specific examination of the sacro-iliac joint. Posterior pain with a febrile illness needs radiological examination and a skeletal scintigraphy, which has always been positive in our experience. All the patients had a very good functional recovery after antibiotherapy and rest (bed or plaster).