妊娠期间因化脓性骶髂关节炎导致的感染性休克：一例病例报告。
Septic shock in pregnancy due to pyogenic sacroiliitis: a case report.
作者信息
Moros María Lapresta, Rodrigo Cesar, Villacampa Adela, Ruiz Julián, Lapresta Carlos
出版信息
J Med Case Rep. 2009 Mar 13;3:6505. doi: 10.1186/1752-1947-3-6505.
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.
引言
由于骶髂关节功能障碍导致的下背部疼痛是孕期常见症状。然而，骶髂关节感染较为罕见，若不存在诱发因素则更为罕见。
病例报告
一名31岁孕妇在左侧臀部区域出现非特异性急性疼痛后，因化脓性骶髂关节炎发展为感染性休克。文中描述了医疗和产科管理、所采用的治疗方法及患者的经历。
结论
孕期化脓性骶髂关节炎的正确诊断和治疗除可避免关节和骨质破坏外，还能预防母婴并发症。
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