Lou Jesse, Smith Eric B, Mehnert Michael J, Simon Jeremy I
Sidney Kimmel Medical College of Thomas Jefferson University Hospitals, Philadelphia.
Department of Physical Medicine and Rehabilitation, Rothman Institute, Philadelphia, PA.
PM R. 2019 Feb;11(2):210-213. doi: 10.1016/j.pmrj.2018.05.019. Epub 2019 Jan 15.
A 53-year-old woman with no significant medical history presented with 10/10 right buttock pain that radiated to the right groin. With no reported recent injury, the absence of fever, and no identifiable risk factors, an infectious etiology, including septic sacroiliitis (SSI), is at the end spectrum of the differential. SSI is a rare condition with nonspecific findings that can lead to major complications, including death. To our knowledge, there are only 4 recent major literature reviews on SSI, with most cases reported to have at least 1 risk factor or clinical sign indicating the possibility of an infectious etiology. The patient reported in this case had no identifiable risk factors; therefore, high clinical suspicion is needed to prevent debilitating consequences from prolonged infection. LEVEL OF EVIDENCE: V.
一名53岁无重大病史的女性，出现了右侧臀部10分疼痛，并放射至右腹股沟。近期无受伤报告，无发热，也无明确的危险因素，包括化脓性骶髂关节炎（SSI）在内的感染性病因处于鉴别诊断的最末端。SSI是一种罕见疾病，其表现不具特异性，可导致包括死亡在内的严重并发症。据我们所知，近期仅有4篇关于SSI的主要文献综述，大多数病例报告至少有1个危险因素或临床体征提示存在感染性病因的可能性。本病例报告的患者没有明确的危险因素；因此，需要高度的临床怀疑以防止长期感染带来的衰弱后果。证据级别：V级。
