SACROILIAC ARTHROMYELITIS: CASE REPORT

ARTROMIELITIS SACROILIACA: REPORTE DE CASO

Authors

  • Roger Antonio Sernaque Mechato Hospital Santa Rosa. Lima, Perú
  • Pablo Alberto Romero Sánchez Instituto de investigaciones en Ciencias Biomédicas de la Universidad Ricardo Palma. Lima, Perú.
  • Julio Andrés Mamani Murillo Instituto de investigaciones en Ciencias Biomédicas de la Universidad Ricardo Palma. Lima, Perú
  • Yelenit Emily Quiñones Rodríguez Instituto de investigaciones en Ciencias Biomédicas de la Universidad Ricardo Palma. Lima, Perú.
  • Marco André Moncada Solano Instituto de investigaciones en Ciencias Biomédicas de la Universidad Ricardo Palma. Lima, Perú.
  • Jesús Darío Toledo De la Torre Universidad Federico Villarreal. Lima, Perú.

DOI:

https://doi.org/10.25176/RFMH.v23i4.6110

Keywords:

septic arthritis, septic sacrolileitis

Abstract

Infectious sacroiliitis is a rare condition that is sometimes diagnosed late due to the poor specificity of the symptoms. In addition, imaging techniques such as scintigraphy, tomography, and nuclear magnetic resonance are required to assess the extent and severity of the lesions. If early diagnosis and treatment are made, the clinical evolution is satisfactory and leaves no sequelae. Clinical case: the case of an 83-year-old female patient is presented, with a history of ischemic cerebrovascular disease, high blood pressure, type 2 diabetes mellitus and urinary tract infection, who presented with moderately intense colic-like abdominal pain, afebrile, and reported that at the time After getting up from his chair he felt weakness in his left side. On admission, hypertensive, febrile with T°: 38°C SatO2: 98% with FiO2: 0.4. On physical examination, there was edema in MMII with pitting (+), distended abdomen, pain in the right flank and left hemiparesis. To the laboratory: hemoglobin 14.8 g/dl, platelets 38,000 μl, leukocytes 18,000 μl.

Keywords: septic arthritis, septic sacrolileitis  (source: MeSH – NLM)

 

 

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Author Biographies

Roger Antonio Sernaque Mechato, Hospital Santa Rosa. Lima, Perú

Médico internista.

Pablo Alberto Romero Sánchez, Instituto de investigaciones en Ciencias Biomédicas de la Universidad Ricardo Palma. Lima, Perú.

Interno de Medicina Humana.

Julio Andrés Mamani Murillo, Instituto de investigaciones en Ciencias Biomédicas de la Universidad Ricardo Palma. Lima, Perú

Interno de Medicina Humana.

Yelenit Emily Quiñones Rodríguez, Instituto de investigaciones en Ciencias Biomédicas de la Universidad Ricardo Palma. Lima, Perú.

Interno de Medicina Humana.

Marco André Moncada Solano, Instituto de investigaciones en Ciencias Biomédicas de la Universidad Ricardo Palma. Lima, Perú.

Interno de Medicina Humana.

Jesús Darío Toledo De la Torre, Universidad Federico Villarreal. Lima, Perú.

Interno de Medicina Humana.

References

Diacinti D, Gioia C, Vullo F, Cannavale G, Catalano C, Valesini G. Magnetic resonance imaging findings of infectious sacroiliitis associated with iliopsoas abscess: a case report in a young male. Reumatismo 2018;70(04):264–267

Kucera T, Brtkova J, Sponer P, et al. Pyogenic sacroiliitis: diagnosis, management and clinical outcome. Skeletal Radiol 2015;44(01): 63–71

Doita M, Yoshiya S, Nabeshima Y, et al. Acute pyogenic sacroiliitis without predisposing conditions. Spine 2003;28(18):E384–E389

Vinceneux P, Rist S, Bosquet A. Arthrites septiques des sacroiliaques et de la symphyse pubienne. Rev Rhum 2006; 73:177–182

Muche B, Bollow M, François RJ, Sieper J, Hamm B, Braun J. Anatomic structures involved in early- and late-stage sacroiliitis in spondylarthritis: a detailed analysis by contrast- enhanced magnetic resonance imaging. Arthritis Rheum 2003;48 (05):1374–1384

Canella C, Schau B, Ribeiro E, Sbaffi B, Marchiori E. MRI in seronegative spondyloarthritis: imaging features and differential diagnosis in the spine and sacroiliac joints. AJR Am J Roentgenol 2013;200(01):149–157

Pertuiset É Les autres causes de sacroiliites que les spondylarthropathies. Rev Rhum 2009;76:761–766

Osman AA, Govender S. Septic sacroiliitis. Clin Orthop Relat Res 1995;(313):214–219

Ghosh S, Narang H, Goel P, Kumar P, Soneja M, Biswas A. Atypical presentation of pyogenic iliopsoas abscess in two cases. Drug Discov Ther 2018;12(01):410

Barnes M, Bush C, Jones J. Pyogenic sacroiliitis: A rare complication of inflammatory bowel disease. Am J Emerg Med 2019;37(07):1395.e1–1395.e2. Doi: 10.1016/j.ajem.2019.04.017

Wilson JJ, Furukawa M. Evaluation of the patient with hip pain. Am Fam Physician 2014;89(01):27–34

Berthelot J, Laslett M. Par quels signes cliniques s’assurer au mieux qu’une douleur est bien d’origine sacroiliaque. Rev Rhum 2009; 76:741–749

Slobodin G, Rimar D, Boulman N, et al. Acute sacroiliitis. Clin Rheumatol 2016;35(04):851–856

Vyskocil JJ, McIlroy MA, Brennan TA, Wilson FM. Pyogenic infection of the sacroiliac joint. Case reports and review of the literature. Medicine (Baltimore) 1991;70(03):188–197

Hermet M, Minichiello E, Flipo RM, et al. Infectious sacroiliitis: a retrospective, multicentre study of 39 adults. BMC Infect Dis 2012;12:305

Bernard L, Dinh A, Ghout I, et al; Duration of Treatment for Spondylodiscitis (DTS) study group. Antibiotic treatment for 6 weeks versus 12 weeks in patients with pyogenic vertebral osteomyelitis: an open-label, non-inferiority, randomised, controlled trial. Lancet 2015;385(9971):875–882

Scott KR, Rising KL, Conlon LW. Infectious sacroiliitis. J Emerg Med 2014;47(03):e83–e84

Cinar M, Sanal HT, Yilmaz S, et al. Radiological followup of the evolution of inflammatory process in sacroiliac joint with magnetic resonance imaging: a case with pyogenic sacroiliitis. Case Rep Rheumatol 2012;2012:509136

Sturzenbecher A, Braun J, Paris S, Biedermann T, Hamm B, Bollow M. RM de la artritis séptica. Skeletal Radiol 2000;29:212–215

Shemer A, Eshed I, Levinkopf M. Septic Sacroiliitis: A Diagnostic Challenge for the Clinician. Isr Med Assoc J 2018;20(01):58–59

Published

2023-12-14 — Updated on 2024-02-15

How to Cite

Sernaque Mechato, R. A., Romero Sánchez, P. A. ., Mamani Murillo, J. A., Quiñones Rodríguez, Y. E. ., Moncada Solano, M. A. ., & Toledo De la Torre, J. D. (2024). SACROILIAC ARTHROMYELITIS: CASE REPORT: ARTROMIELITIS SACROILIACA: REPORTE DE CASO. Revista De La Facultad De Medicina Humana, 23(4), 158–162. https://doi.org/10.25176/RFMH.v23i4.6110