Deshayes P, Simonin J L, Solnica J, Le Loet X, Ouvry D, Lebouder F
Sem Hop. 1976 Nov 9;52(38):2131-7.
The authors report 11 cases of sacro-coxitis due to pyogenic bacteria observed over a period of seven years and emphasize that this is a disease of young women recently in labour, usually due to staphylococci which enter through the genital tract. The other methods of contamination are urinary, cutaneous and dental. The onset is usually acute, pseudoembolic and bacteremia. Whereas the diagnosis is purely clinical as X ray remains normal until the 15th or 20th day, all steps should be taken to identify the germ. With antibiotics, a cure is obtained without sequelae within 3 months. Surgery is only justified if tuberculosis is suspected and in exceptional cases with abscess formation.
作者报告了7年间观察到的11例由化脓性细菌引起的骶髂关节炎病例,并强调这是一种近期分娩的年轻女性疾病,通常由通过生殖道进入的葡萄球菌引起。其他感染途径包括泌尿系统、皮肤和牙科。发病通常为急性、类似栓塞和菌血症。虽然诊断完全基于临床,因为直到第15天或20天X线仍正常,但应采取一切措施识别病菌。使用抗生素后,3个月内可治愈且无后遗症。仅在怀疑为结核病以及在形成脓肿的特殊情况下才有手术指征。