Pregnancy-Associated Pyogenic Sacroiliitis: Case Report and Review

Autor: Joseph Baran, Riad Khatib, Mohammad O. Almoujahed
Jazyk: angličtina
Rok vydání: 2003
Předmět:
Adult
medicine.medical_specialty
Arthritis
Dermatology
Risk Assessment
Severity of Illness Index
lcsh:Gynecology and obstetrics
lcsh:Infectious and parasitic diseases
Pregnancy
Severity of illness
medicine
Humans
lcsh:RC109-216
Peripartum Period
Pregnancy Complications
Infectious
Adverse effect
reproductive and urinary physiology
lcsh:RG1-991
Sacroiliac joint
Arthritis
Infectious
medicine.diagnostic_test
business.industry
Pregnancy Outcome
Obstetrics and Gynecology
Magnetic resonance imaging
Sacroiliac Joint
Staphylococcal Infections
medicine.disease
Magnetic Resonance Imaging
female genital diseases and pregnancy complications
Surgery
Anti-Bacterial Agents
Infectious Diseases
medicine.anatomical_structure
Pregnancy Trimester
Second
Female
Presentation (obstetrics)
business
Tomography
X-Ray Computed
Follow-Up Studies
Research Article
Zdroj: Infectious Diseases in Obstetrics and Gynecology, Vol 11, Iss 1, Pp 53-57 (2003)
Infectious Diseases in Obstetrics and Gynecology
ISSN: 1098-0997
1064-7449
Popis: Background: Pyogenic sacroiliitis occurs infrequently during the peripartum period.Case:A case at our institution and a review of the literature were analyzed. A total of 15 cases were discovered. The onset of illness was during pregnancy (40% of cases), within 3 weeks postpartum (40%) or post-abortion (20%), and the presentation was usually acute (< 7 days in 67% of cases). Frequent manifestations included localized pain in the hips or buttock, sacroiliac joint tenderness and fever. Computed tomography or magnetic resonance imaging revealed joint involvement in all cases tested. Microbiology was confirmed by blood (40%) or joint aspirate (75%), and most patients were treated with antibiotics. Surgical intervention took place in five cases. Pretermlabor was reported in only one case. All patients respondedwell to therapy without locomotive disability, and persistent pain was uncommon.Conclusion:Septic sacroiliitis should be considered in peripartum patients who present with fever and severe localized pain. Medical management is usually curative, and without an adverse effect on pregnancy.
Databáze: OpenAIRE
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