Abstract

GARCIA PESCADOR, Nicolás  and  DELGADO BARRAZA, Andrés Mauricio. Pediatric Pyogenic Sacroiliitis: Case Report and Literature Review. Rev. Med [online]. 2023, vol.31, n.1, pp.141-146.  Epub Dec 29, 2023. ISSN 0121-5256.  https://doi.org/10.18359/rmed.6454.

Osteoarticular infections in pediatric patients are associated with significant morbidity and the risk of functional and/or anatomical sequelae, often requiring surgical interventions. Pyogenic sacroiliitis is a rare bacterial infection affecting the osteoarticular region, accounting for a small percentage of all septic arthritis cases. The symptomatology is imprecise, leading to delayed diagnosis and potential complications such as abscesses, sepsis and joint deformities. Currently, nuclear magnetic resonance is the most useful diagnostic method due to its relatively easy accessibility and high sensitivity. Initiating appropriate antibiotic treatment results in a rapid regression of symptoms. We present the clinical case of a school- aged patient treated at a hospital in Bogotá, Colombia. The patient exhibited symptoms indicative of pyogenic sacroiliitis, suspected based on the anamnesis and physical examination, and later confirmed through imaging and microbiological culture.

Keywords : Pyogenic Sacroiliitis; Nuclear Magnetic Resonance; Staphylococcus aureus; Blood Culture.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )