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. 2018;56(1):55-58.
doi: 10.5114/reum.2018.74752. Epub 2018 Feb 28.

Septic arthritis of the sacroiliac joint

Patryk J Woytala  1 , Agata Sebastian  1 , Katarzyna Błach  2 , Jurand Silicki  3 , Piotr Wiland  1
Affiliations

Septic arthritis of the sacroiliac joint

Patryk J Woytala et al. Reumatologia. 2018.

Abstract

Septic arthritis is an inflammation of a joint caused directly by various microorganisms. It is often characterized by many unspecific symptoms. Bacteria is the most often etiological factor. We present a case report of a 76-years old woman with a unilateral septic arthritis of the sacroiliac joint. Bacterial sacroiliitis should be taken into account in patients with sacroiliitis and fever onset. Proper diagnosis can be very often difficult and delayed but fast implementation of antibiotic therapy is extremely important in the treatment process. Diagnostic imaging is crucial to the diagnosis and monitoring of septic arthritis. Magnetic resonance imaging is the most relevant tool for the detection of sacroiliitis, allowing the institution of therapeutic strategies to impede the progression of the disease.

Keywords: Staphylococcus aureus; infectious arthritis; sacroiliitis; septic arthritis.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
The X-ray image of the right sacroiliac joint of the patient.
Fig. 2
Fig. 2
The MRI sacroiliac joints of the patient at diagnosis.
Fig. 3
Fig. 3
The MRI sacroiliac joints of the patient at diagnosis.
Fig. 4
Fig. 4
Control image of the sacroiliac joints after two months after the start of antibiotic therapy.
See this image and copyright information in PMC

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