Visual Diagnosis in Emergency Medicine
Infectious Sacroiliitis

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Case Report

A 21-year-old previously healthy male presented to the emergency department with 7 days of left hip pain and inability to walk. There was no history of fever or trauma, no history of i.v. drug use, and the patient was feeling well 1 week ago. He awoke one morning with a minimal limp, although no pain. The following day he developed sharp left hip pain with radicular numbness. The patient was seen at another hospital and given steroids and pain medication without relief. The pain and limp

Discussion

ISI is a rare condition that often mimics common diagnoses, such as muscular strain and sciatica. The insidious onset and nonspecific signs and symptoms, such as lumbar gluteal pain and tenderness of the lower back, can lead to a delay in diagnosis, resulting in increased morbidity and long-term disability (1). Risk factors for ISI include trauma, pregnancy, i.v. drug use, endocarditis, and immunosuppression 1, 2. Laboratory values are nonspecific, with the most common abnormality being

References (4)

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    Septic sacroiliitis: an uncommon septic arthritis

    Clin Exp Rheumatol

    (2009)
  • M. Hermet et al.

    Infectious sacroiliitis: a retrospective, multicentre study of 39 adults

    BMC Infect Dis

    (2012)
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