Woytala Patryk J, Sebastian Agata, Błach Katarzyna, Silicki Jurand, Wiland Piotr
Department of Rheumatology and Internal Medicine, Wroclaw Medical Hospital, Poland.
VI Department of Internal Diseases, Rheumatology and Geriatrics, Provincial Specialist Hospital J. Gromkowskiego, Wroclaw, Poland.
Reumatologia. 2018;56(1):55-58. doi: 10.5114/reum.2018.74752. Epub 2018 Feb 28.
Septic arthritis is an inflammation of a joint caused directly by various microorganisms. It is often characterized by many unspecific symptoms. Bacteria is the most often etiological factor. We present a case report of a 76-years old woman with a unilateral septic arthritis of the sacroiliac joint. Bacterial sacroiliitis should be taken into account in patients with sacroiliitis and fever onset. Proper diagnosis can be very often difficult and delayed but fast implementation of antibiotic therapy is extremely important in the treatment process. Diagnostic imaging is crucial to the diagnosis and monitoring of septic arthritis. Magnetic resonance imaging is the most relevant tool for the detection of sacroiliitis, allowing the institution of therapeutic strategies to impede the progression of the disease.
化脓性关节炎是由各种微生物直接引起的关节炎症。它通常具有许多非特异性症状。细菌是最常见的病因。我们报告一例76岁女性单侧骶髂关节化脓性关节炎的病例。骶髂关节炎伴发热起病的患者应考虑细菌性骶髂炎。正确的诊断常常很困难且会延迟，但在治疗过程中迅速实施抗生素治疗极为重要。诊断性影像学检查对化脓性关节炎的诊断和监测至关重要。磁共振成像（MRI）是检测骶髂炎最相关的工具，有助于制定治疗策略以阻止疾病进展。
