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. 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.

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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

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