Unilateral infective sacroiliitis in a boy presenting with a limp
| Autor: | Tamer Sherief, Reeya Patel, Mohammed Monem |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Limp Pain Physical examination Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Rare Diseases Rare Disease medicine Humans Sacroiliitis Child 030203 arthritis & rheumatology Sacroiliac joint 030222 orthopedics Arthritis Infectious Referred pain Hip Movement Disorders medicine.diagnostic_test business.industry Ceftriaxone Sacroiliac Joint General Medicine medicine.disease Magnetic Resonance Imaging Surgery Anti-Bacterial Agents medicine.anatomical_structure Treatment Outcome Septic arthritis Administration Intravenous Differential diagnosis medicine.symptom business Rare disease |
| Zdroj: | BMJ case reports. 2017 |
| ISSN: | 1757-790X |
| Popis: | A 9-year-old boy admitted to a district general hospital with a 1-week history of fever and a 2-day history of right hip pain. Initial workup revealed raised inflammatory markers and unremarkable imaging studies. After clinical review, there was minimal improvement of the patient’s condition 5 days after presentation; therefore, an MRI of the pelvis/hips was carried out, which supported a clinical diagnosis of right-sided infective sacroiliitis. Infective sacroiliitis is rare and only represents 1%–2% of septic arthritis in children. The condition still remains a diagnostic challenge first due to poor localisation of symptoms with referred pain to the hip, thigh and lower back and second due to a lack of awareness by non-specialist clinicians. Early diagnosis is a key to avoid sequelae such as an abscess, degenerative changes of the sacroiliac joint and can be achieved by a thorough clinical examination, monitoring inflammatory markers and MRI. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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