Septic sacroiliitis.
Five patients with septic sacroiliitis, 3 unilateral and 2 bilateral, are described. The illness was acute, with high fever, low back or buttock pain, severe sacroiliac tenderness and elevated erythrocyte sedimentation rate. Staphylococcus aureus was isolated from the blood in 3 cases and Salmonella typhi in 1. Diagnosis was confirmed by scintigraphy in 4 cases. Roentgenographic changes developed in 2 patients. Response to antimicrobial therapy was favourable. Awareness of this condition is mandatory for prompt diagnosis and correct therapy. Sacroiliac tenderness with increased radionuclide uptake, high fever and positive blood culture are the primary diagnostic criteria.
D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000188:drug therapy; D004164:Diphosphonates; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012446:Sacroiliac Joint; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D013667:Technetium; D013669:Technetium Tc 99m Medronate; D014435:Typhoid Fever / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D004164:Diphosphonates; D013667:Technetium; D013669:Technetium Tc 99m Medronate