Kerns S R, Dougherty K, Pope T L, Scheld W M
Department of Radiology, University of Virginia Medical Center, Charlottesville 22908.
South Med J. 1990 May;83(5):589-91. doi: 10.1097/00007611-199005000-00029.
This case demonstrates the difficulty frequently encountered in making an early diagnosis of septic sacroiliitis. The proper use of appropriate laboratory tests and radiologic examinations can narrow the differential diagnosis significantly, with confirmation resting on culture results. Appropriate antibiotic therapy will depend on the organism isolated. When confronted by the typical clinical findings and supporting ancillary data of septic sacroiliitis, the physician should consider the possibility of an unusual organism such as Proteus mirabilis and should direct antibiotic therapy accordingly.
本病例显示了早期诊断化脓性骶髂关节炎时经常遇到的困难。正确使用适当的实验室检查和影像学检查可以显著缩小鉴别诊断范围，确诊则依赖于培养结果。适当的抗生素治疗将取决于分离出的病原体。当面对化脓性骶髂关节炎的典型临床表现和辅助数据时，医生应考虑到奇异变形杆菌等不常见病原体的可能性，并相应地指导抗生素治疗。
