Weisz Natasha
Rheumatology Department, Southend Hospital, Southend, UK.
BMJ Case Rep. 2012 Jun 14;2012:bcr1120115258. doi: 10.1136/bcr.11.2011.5258.
A 13-year-old school boy presented with right-sided buttock pain, features of sepsis and Staphylococcus aureus positive blood cultures. On examination, he was febrile and in severe pain, with limited hip rotation and positive sacroiliac stress tests. Initial imaging with pelvic x-ray, hip ultrasound and MRI were normal. Despite this, a diagnosis of septic arthritis of the hip was presumed, and the patient underwent a washout of the right hip. When the imaging was reviewed in more detail, it was noted that a section of the sacroiliac joint was abnormal. Subsequent pelvic MRI confirmed that this was, in fact, septic sacroiliitis. The patient made a good recovery following washout of the right sacroiliac joint and 6 weeks of antibiotics.
一名13岁的男学生出现右侧臀部疼痛、败血症症状且血培养显示金黄色葡萄球菌阳性。检查时，他发热且疼痛剧烈，髋关节活动受限，骶髂关节应力试验阳性。最初的骨盆X光、髋关节超声和磁共振成像检查结果均正常。尽管如此，仍推测为髋关节化脓性关节炎，该患者接受了右髋关节冲洗术。当更详细地复查影像时，发现骶髂关节的一部分异常。随后的骨盆磁共振成像证实，实际上这是化脓性骶髂关节炎。在对右骶髂关节进行冲洗并使用6周抗生素后，患者恢复良好。
