Siam A R, Hammoudeh M, Uwaydah A K
Department of Internal Medicine, Hamad General Hospital, Doha-Qatar.
Br J Rheumatol. 1993 Aug;32(8):699-701. doi: 10.1093/rheumatology/32.8.699.
We describe our experience in handling six cases of pyogenic sacroiliitis. Two were males and four were females with a mean age of 24.9 years. None had a history of i.v. drug abuse. Blood cultures were positive in half of the patients. The sacroiliac joint aspirate was positive in one additional patient. Staphylococcus aureus was recovered from three of four culture positive cases. Bone and CT scans revealed abnormalities in all patients. Response to antibiotic therapy was satisfactory in all except one patient who had an early relapse. Early diagnoses and proper treatment would result in improved outcomes.
我们描述了处理6例化脓性骶髂关节炎的经验。其中2例为男性,4例为女性,平均年龄24.9岁。所有患者均无静脉注射毒品史。半数患者血培养呈阳性。另有1例患者骶髂关节穿刺液呈阳性。4例培养阳性病例中有3例分离出金黄色葡萄球菌。所有患者的骨骼和CT扫描均显示异常。除1例早期复发的患者外,所有患者对抗生素治疗的反应均令人满意。早期诊断和恰当治疗可改善预后。