Suspected Septic Sacroiliitis Following Recent Cesarean Section Under Spinal Anesthesia.
cesarean section
mobility limitation
pyogenic sacroiliitis
sacroiliac joint
sacroiliitis
septic sacroiliitis
spinal anesthesia
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
28 Jun 2020
28 Jun 2020
Historique:
entrez:
4
8
2020
pubmed:
4
8
2020
medline:
4
8
2020
Statut:
epublish
Résumé
Septic sacroiliitis is sacroiliac (SI) joint inflammation secondary to microbial invasion of the synovial space characterized by tenderness over the sacroiliac joint, difficulty walking, and lower back pain that can radiate to the buttocks. Clinicians can easily overlook septic sacroiliitis as a potential diagnosis due to its rare occurrence and non-specific symptoms. A 30-year-old female (G2P2A0) who presented acutely to the ED nine days after an uncomplicated Cesarean section performed under spinal anesthesia. The patient experienced progressive lancinating, electric-shock pain originating from the coccyx radiating to the right buttock and lower back with the inability to bear weight. MRI pelvis demonstrated edematous changes of the right SI joint, indicative of septic sacroiliitis. Patient's condition improved after empiric intravenous antibiotics and was discharged home on the continued intravenous course. Rapid empiric administration of intravenous antibiotics may have prevented the onset of severe complications of an infective SI joint.
Identifiants
pubmed: 32742858
doi: 10.7759/cureus.8891
pmc: PMC7388811
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e8891Informations de copyright
Copyright © 2020, Nutcharoen et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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