Pregnancy-associated pyogenic sacroiliitis: case report and review
Author Information
Author(s): Mohammad O. Almoujahed, Riad Khatib, Joseph Baran
Primary Institution: St John Hospital and Medical Center
Hypothesis
Septic sacroiliitis should be considered in peripartum patients who present with fever and severe localized pain.
Conclusion
Medical management is usually curative, and without an adverse effect on pregnancy.
Supporting Evidence
- 40% of cases had onset of illness during pregnancy.
- 67% of cases presented with acute symptoms within 7 days.
- Microbiology was confirmed in 75% of cases via joint aspirate.
Takeaway
This study looked at a rare infection that can happen during or after pregnancy, which causes severe pain. Most patients got better with treatment and didn't have lasting problems.
Methodology
A case report and literature review of 15 cases of pyogenic sacroiliitis during the peripartum period.
Limitations
The study is limited by the small number of cases and the retrospective nature of the literature review.
Participant Demographics
Mean age of patients was 25.4 years, with cases occurring during pregnancy, postpartum, or post-abortion.
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