title: Serious complication 1 year after sacrospinous ligament fixation.
abstract: Myositis of the gluteal region caused by group A streptococci 1 year after a sacrospinous ligament fixation was recognised as a serious complication of this procedure. Most likely, the infection was spread to the gluteal region through a port d'entree caused by vaginal atrophy, via the non-resorbable sutures. The patient was treated successfully with antibiotics intravenous and local estrogens.
authors.affiliation: Department of Obstetrics and Gynecology, Meander Medical Centre, Ringweg Randenbroek 110, Amersfoort, The Netherlands. vjfaber@gmail.com
authors.forename: Violet J
authors.initials: VJ
authors.lastname: Faber
authors.forename: Huub C
authors.initials: HC
authors.lastname: van der Vaart
authors.forename: Ben G F
authors.initials: BG
authors.lastname: Heggelman
authors.forename: Steven E
authors.initials: SE
authors.lastname: Schraffordt Koops
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002081:Buttocks / Q000382:microbiology*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D014596:Uterine Prolapse / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents