Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009 Mar 13:3:6505.
doi: 10.1186/1752-1947-3-6505.

Septic shock in pregnancy due to pyogenic sacroiliitis: a case report

María Lapresta Moros, Cesar Rodrigo, Adela Villacampa, Julián Ruiz, Carlos Lapresta

Septic shock in pregnancy due to pyogenic sacroiliitis: a case report

María Lapresta Moros et al. J Med Case Rep. .

Abstract

Introduction: Lower back pain due to sacroiliac joint dysfunction is a common symptom during pregnancy. However, infection of the sacroiliac joint is rare, even more so if no predisposing factors are present.

Case presentation: After the onset of unspecific acute pain in the left buttock region, a 31-year-old pregnant woman developed septic shock due to pyogenic sacroiliitis. The medical and obstetric management, treatment applied and patient's experience are described.

Conclusion: The correct diagnosis and treatment of pyogenic sacroiliitis during pregnancy may avoid joint and bone destruction in addition to maternal and fetal complications.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Magnetic resonance imaging scan of the pelvis showing the left sacroiliac joint abscesses with sacroiliac joint destruction and focal osteomyelitis.
Figure 2
Figure 2
Single-photon emission computed tomography/computed tomography demonstrating a widened left sacroiliac joint with active bone remodelling and moderate inflammatory activity.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. German RS, Mabie WC, Eifrid M, Whitnack E, Sibai BM. Sacroiliitis associated with pyelonephritis in pregnancy. Obstet Gynecol. 1995;85:834–835. doi: 10.1016/0029-7844(94)00311-Z. - DOI - PubMed
    1. Linnet KM, Gammelgaard L, Johansen M, Krarup N, Rasmussen KL. Bilateral pyogenic sacroiliitis following uncomplicated pregnancy and labour. Acta Obstet Gynecol Scand. 1996;75:950–951. doi: 10.3109/00016349609055034. - DOI - PubMed
    1. Haq I, Morris V. Post-partum septic sacroiliitis. Rheumatology. 2001;40:1191–1192. doi: 10.1093/rheumatology/40.10.1191. - DOI - PubMed
    1. Edelstein S, Doute Y. Bacterial sacroiliitis probably induced by lumbar epidural analgesia. Infect Dis Obstet Gynecol. 2003;11:105–108. doi: 10.1080/10647440300025506. - DOI - PMC - PubMed
    1. Ford LS, Ellis AM, Allen HW, Campbell DE. Osteomyelitis and pyogenic sacroiliitis: a difficult diagnosis. J Paediatr Child Health. 2004;40:317–319. doi: 10.1111/j.1440-1754.2004.00372.x. - DOI - PubMed

LinkOut - more resources