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- E Kreps, V Smith, H Mielants, and R Wittoek.
- Acta Clin Belg. 2014 Apr 1;69(2):127-9.
Objective And ImportanceWe report on a rare case of septic arthritis of the sacroiliac joint in a young patient without apparent predisposing factors.Clinical PresentationA 22-year-old female presented with severe right pelvic and gluteal pain and systemic illness. She had a recent diagnosis of bilateral sacroiliitis.InterventionSystemic illness quickly subsided after initiation of intravenous antibiotic treatment. Subsequently, gluteal pain gradually diminished.ConclusionPyogenic sacroiliitis should be taken into account in patients with sacroiliitis and fever onset. Magnetic resonance imaging shows signal anomalies well beyond disappearance of symptoms, which may or may not require prolonged antibiotic therapy.
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