OPIS PRZYPADKU
Septyczne zapalenie stawów krzyżowo-biodrowych
Więcej
Ukryj
Data nadesłania: 28-11-2017
Data ostatniej rewizji: 13-12-2017
Data akceptacji: 02-02-2018
Data publikacji online: 28-02-2018
Data publikacji: 28-02-2018
Reumatologia 2018;56(1):55-58
SŁOWA KLUCZOWE
DZIEDZINY
STRESZCZENIE
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.
REFERENCJE (30)
1.
Kherani R, Shojania K. Septicarthritis in patients with pre-existing inflammatory arthritis. CMAJ 2007; 176: 1605-1608.
2.
Hermet M, Minichiello E, Flipo RM, et al. Infectious sacroiliitis: a retrospective, multicentre study of 39 adults. BMC Infectious Diseases 2012; 12: 305.
3.
Margaretten ME, Kohlwes J, Moore D, Bent S. Does this adult patient have septic arthritis? JAMA 2007; 297: 1478-1488.
4.
Gouliouris T, Aliyu SH, Brown NM. Spondylodiscitis: update on diagnosis and management. J Antimicrob Chemother 2010; 65: 11-24.
5.
Zimmerman B III, Mikolich D, Lally E. Septic sacroiliitis. Semin Arthritis Rheum 1996; 26: 592-604.
6.
Vyskocil J, McIlroy M, Brennan T, Wilson FM. Pyogenic infection of the sacroiliac joint. Case reports and review of the literature. Medicine (Baltimore) 1991; 70: 188-197.
7.
Oka M, Möttönen T. Septic sacroiliitis. J Rheumatol 1983; 10: 475-478.
8.
Mathews CJ, Coakley G. Septic arthritis: current diagnostic and therapeutic algorithm. Curr Opin Rheumatol 2008; 20: 457-462.
9.
Braun J, Sieper J, Bollow M. Imaging of sacroiliitis. Clin Rheumatol 2000; 19: 51-57.
10.
Kucera T, Brtkova J, Sponer P, et al. Pyogenic sacroiliitis: diagnosis, management and clinical outcome. Skeletal Radiol 2015; 44: 63-71.
11.
Dubost J, Soubrier M, De Champs C, et al. No changes in the distribution of organisms responsible for septicarthritis over a 20 year period. Ann Rheum Dis 2002; 61: 267-269.
12.
Anolik J, Wildy K, Cohn SE, et al. Multifocal Staphylococcus aureus infection originating from the sacroiliac joint in a patient with rheumatoid arthritis. J Rheumatol 2001; 28: 217-220.
13.
Shanahan MD, Ackroyd CE. Pyogenic infection of the sacroiliac joint. A report of 11 cases. J Bone Joint Surg Br 1985; 67: 605-608.
14.
Chebbi W, Jerbi S, Kessomtini W, et al. Pyogenic sacroiliitis and pyomyositis in a patient with systemic lupus erythematous. Case Rep Rheumatol 2014; 2014: ID 925961.
15.
Wu M, Chang S, Lee S, Lee C. Pyogenic sacroiliitis – a comparison between paediatric and adult patients. Rheumatology (Oxford) 2007; 46: 1684-1687.
16.
Govender S, Chotai PR. Salmonella osteitis and septic arthritis.
17.
J Bone Joint Surg Br 1990; 72: 504-506.
18.
Gheita TA, Sayed S, Azkalany GS, et al. Subclinical sacroiliitis in brucellosis : Clinical presentation and MRI findings. Z Rheumatol 2015; 74: 240-245.
19.
Mahfoudhi M, Hariz A, Turki S, Kheder A. Septic sacroiliitis revealing an infectious endocarditis. BMJ Case Rep 2014; 2014. pii: bcr2014204260.
20.
Abbot AE, Sculco T. Septic sacroiliitis with hematogenous spread to a total knee arthroplasty. J Arthroplasty 2001; 16: 225-228.
21.
Osman A, Govender S. Septic sacroiliitis. Clin Orthop Relat Res 1995; 313: 214-219.
22.
Roblot F, Besnier JM, Juhel L, et al. Optimal duration of antibiotic therapy in vertebral osteomyelitis. Semin Arthritis Rheum 2007; 36: 269-277.
23.
Bindal M, Krabak B. Acute bacterial sacroiliitis in an adult: a case report and review of the literature. Arch Phys Med Rehabil 2007; 88: 1357-1359.
24.
Rayner C, Baddour L, Birmingham M, et al. Linezolid in the treatment of osteomyelitis: results of compassionate use experience. Infection 2004; 32: 8-14.
25.
Falagas ME, Giannopoulou KP, Ntziora F, et al. Daptomycin for treatment of patients with bone and joint infections: a systematic review of the clinical evidence. Int J Antimicrob Agents 2007; 30: 202-209.
26.
Licitra C, Crespo A, Licitra D, Wallis-Crespo M. Daptomycin for the Treatment of Osteomyelitis and Prosthetic Joint Infection: Retrospective Analysis of Efficacy and Safety in an Outpatient Infusion Center. Internet J Infect Dis 2010; 9: no 2.
27.
Edelstein S, Edoute Y. Bacterial sacroiliitis probably induced by lumbar epidural analgesia. Infect Dis Obstet Gynecol 2003; 11: 105-108.
28.
Mulvey JM. Postpartum septic sacroiliitis coincident with labour epidural analgesia. Anaesth Intensive Care 2008; 36: 875-878.
29.
Stürzenbecher A, Braun J, Paris S, et al. MR imaging of septic sacroiliitis. Skeletal Radiol 2000; 29: 439-446.
30.
Blum U, Buitrago-Tellez C, Mundinger A, et al. Magnetic resonance imaging for detection of active sacroiliitis – a prospective study comparing conventional radiography, scintigraphy, and contrast-enhanced MRI. J Rheumatol 1996; 23: 2107-2115.
Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (
https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.