Nogueira Helder, Pereira Joana, Couto André, Alves Jorge, Lopes Daniel, Freitas Joana, Alegrete Nuno, Costa Gilberto
Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (Dr. Nogueira, Dr. Pereira, Dr. Alves, and Dr. Lopes), and Centro Hospitalar São João, Porto, Portugal (Dr. Couto, Dr. Freitas, Dr. Alegrete, and Dr. Costa).
J Am Acad Orthop Surg Glob Res Rev. 2018 Jul 9;2(7):e052. doi: 10.5435/JAAOSGlobal-D-17-00052. eCollection 2018 Jul.
This is a case report of pyogenic sacroiliitis in a pediatric patient caused by . The patient is a 16-year-old boy who presented to an emergency department with sudden onset of back pain radiating to the left lower extremity. The diagnosis was confounded by the presence of isthmic spondylolisthesis. Plain radiography demonstrated mild isthmic spondylolisthesis but no radiographic signs of tumor, trauma, infection, arthritis, or other developmental problems. The C-reactive protein level was 23 mg/L. Over the next 24 hours, the patient developed fever, and the C-reactive protein level increased to 233 mg/L. Sacroiliitis and an iliopsoas abscess were identified on MRI. Blood cultures grew . The patient responded to antibiotic treatment and needle aspiration under CT guidance. Sacroiliitis is an uncommon condition and, to our knowledge, there is only one other case report of its being caused by . The previous report was in an adult.
这是一例由……引起的小儿化脓性骶髂关节炎的病例报告。患者为一名16岁男孩，因突发背痛并向左下肢放射而就诊于急诊科。峡部裂性腰椎滑脱的存在使诊断变得复杂。X线平片显示轻度峡部裂性腰椎滑脱，但无肿瘤、创伤、感染、关节炎或其他发育问题的影像学征象。C反应蛋白水平为23mg/L。在接下来的24小时内，患者出现发热，C反应蛋白水平升至233mg/L。MRI检查发现骶髂关节炎和髂腰肌脓肿。血培养生长出……。患者对抗生素治疗及CT引导下穿刺抽吸有反应。骶髂关节炎是一种罕见疾病，据我们所知，仅有另一例由……引起的病例报告。之前的报告是关于一名成年人。
