Pyogenic sacroiliitis and adult respiratory distress syndrome: a case report.
Staphylococcus aureus sacroiliitis is uncommon and may lead to bacteraemia, sepsis, and death if diagnosis and treatment are delayed. Its association with pulmonary symptoms has not been reported. We report a 36-year-old Thai woman who presented with a 4-day history of right buttock pain, aggravated by walking, which came on after having a traditional foot massage. She later developed adult respiratory distress syndrome. She was treated with open drainage, respiratory support, and antibiotics.
Asavamongkolkul
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Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. siaas@mahidol.ac.th
Keerasuntonpong
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Kuagoolwongse
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D000328:Adult; D001170:Arthritis, Infectious / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D016470:Bacteremia / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D013902:Radiography, Thoracic; D012128:Respiratory Distress Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology; D012446:Sacroiliac Joint; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D013492:Suppuration