Srinivasan Sushant, Miller Carl, Akhras Nour, Blackwood Alexander R
Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, MI, USA.
Infect Dis Rep. 2012 Mar 14;4(1):e18. doi: 10.4081/idr.2012.e18. eCollection 2012 Jan 2.
Pyogenic sacroiliitis accounts for 1-2% of all cases of septic arthritis with less than 200 cases reported in the English literature since the beginning of the twentieth century. Cultures of joint fluid usually grow Staphylococcus aureus. Prognosis is excellent; however, diagnosis may be difficult due to rarity of disease and non-specific signs, symptoms, and physical findings. Magnetic resonance imaging has been found to be the most useful imaging modality in diagnosis. Most reported cases required prolonged antimicrobial therapy of six to nine weeks. Presented here are two children with pyogenic sacroiliitis managed at a tertiary-care, university hospital and review of the literature on this relatively rare diagnosis.
化脓性骶髂关节炎占所有脓毒性关节炎病例的1% - 2%，自20世纪初以来，英文文献报道的病例不到200例。关节液培养通常培养出金黄色葡萄球菌。预后良好；然而，由于该病罕见以及体征、症状和体格检查结果不具特异性，诊断可能困难。磁共振成像已被发现是诊断中最有用的影像学检查方式。大多数报道的病例需要进行6至9周的长期抗菌治疗。本文介绍了在一家三级医疗大学医院接受治疗的两名化脓性骶髂关节炎患儿，并对关于这一相对罕见诊断的文献进行了综述。
