title: [Infectious sacroiliitis in tunisian centre: retrospective study of 25 cases].
abstract: Infectious sacroiliitis are rare but they can be complicated by disabling functional sequelae. To describe the clinical and bacteriological characteristics of infectious sacroiliitis among patients treated in Sousse Medical Center, Tunisia. A retrospective, descriptive study, of infectious sacroiliitis among patients hositalized in Sousse between 2000 and 2015. The diagnosis was made on the basis of medical signs, imaging, microbiological indicators. In the study were enrolled twenty five patients, 10 men and 15 women; the average age was 41 years (19-78). Sacroiliitis were due to pyogenic bacteria in 14 cases (56%), brucella bacteria in 6 cases (24%) and tuberculosis bacteria in 5 cases (20%). The mean duration of symptoms was 61, 45 and 402 days respectively. The most common clinical signs were buttock pain (92%) and fever (88%). Standard radiographic evaluation was abnormal in 75% of cases. CT scan and MRI of the sacroiliac joints was performed in all cases. The diagnosis was bacteriologically confirmed in 24 cases (96%). The average duration of antibiotic treatment was 83 days in the pyogenic sacroiliitis, and 102 days in brucellar sacroiliitis. The evolution was favorable in 12 patients (48%), 9 patients (36%) had sequelae of sacroiliac joint pain and 4 patients (16%) died. In our study, time frame of infectious sacroiliitis evolution did not predict the causative bacterium, hence the need for bacteriological documentation in order to prescribe appropriate antibiotic therapy.
authors: Service de Maladies Infectieuses, CHU Farhat Hached, Sousse, Tunisie.
authors: Foued
authors: F
authors: Bellazreg
authors: Service de Rhumatologie, CHU Farhat Hached, Sousse, Tunisie.
authors: Zeineb
authors: Z
authors: Alaya
authors: Service de Maladies Infectieuses, CHU Farhat Hached, Sousse, Tunisie.
authors: Zouhour
authors: Z
authors: Hattab
authors: Service de Maladies Infectieuses, CHU Farhat Hached, Sousse, Tunisie.
authors: Nadia Ben
authors: NB
authors: Lasfar
authors: Service d'Orthopédie, CHU Sahloul, Sousse, Tunisie.
authors: Mohamed Laziz Ben
authors: ML
authors: Ayeche
authors: Service de Rhumatologie, CHU Farhat Hached, Sousse, Tunisie.
authors: Elyes
authors: E
authors: Bouajina
authors: Service de Maladies Infectieuses, CHU Farhat Hached, Sousse, Tunisie.
authors: Amel
authors: A
authors: Letaief
authors: Service de Maladies Infectieuses, CHU Farhat Hached, Sousse, Tunisie.
authors: Wissem
authors: W
authors: Hachfi
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001419:Bacteria / Q000302:isolation & purification*; D001431:Bacteriological Techniques; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D058566:Sacroiliitis / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014416:Tunisia / Q000453:epidemiology; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Infectious sacroiliitis; brucellosis; pyogenic bacteria; tubercolosis