Pyogenic sacroiliitis in a rural population.
We describe 10 cases of pyogenic sacroiliitis occurring in a rural population. Seven were male and 3 were female with a mean age of 22.4 years. None was a recent intravenous drug abuser. Five patients had a history of recent pelvic trauma. 99mTechnetium scintiscans revealed increased sacroiliac (SI) joint uptake in 8 of 8 cases. Blood cultures were positive in 60% of patients. Staphylococcus aureus was isolated in 7 cases from blood and/or SI aspirates and Hemophilus influenzae type B in one case. Nine of 10 patients recovered completely. One underwent arthrodesis for recurrent SI pain without evidence of relapse of infection. Median followup was 18 months.
Moyer
R A
RA
Department of Rheumatology, Geisinger Medical Center, Danville, PA 17822.
Bross
J E
JE
Harrington
T M
TM
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001168:Arthritis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D001799:Blood Sedimentation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012423:Rural Health; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging; D013492:Suppuration; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents