Pyogenic Sacroiliitis with Psoas Abscess: A case report.
- Author:
Joong Hoon LEE
1
;
Hee Suk SHIN
;
Chul Ho YOON
;
Soo Hyeon KWON
;
Eun Shin LEE
Author Information
1. Department of Rehabilitation Medicine, Gyeongsang National University College of Medicine, Korea. rmeslee@gnu.ac.kr
- Publication Type:Case Report
- Keywords:
Sacroiliitis;
Psoas abscess;
Streptococcus intermedius;
Sphingomonas paucimobilis
- MeSH:
Abscess;
Anti-Bacterial Agents;
Drainage;
Fever;
Humans;
Joints;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Osteomyelitis;
Psoas Abscess;
Psoas Muscles;
Sacroiliac Joint;
Sacroiliitis;
Sphingomonas;
Streptococcus intermedius
- From:Journal of the Korean Academy of Rehabilitation Medicine
2008;32(4):465-468
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pyogenic sacroiliitis is a rare infection that may accompany psoas muscle abscess with vague clinical presentation, which present a diagnostic challenge requiring a high index of suspicion. We report a 48-year-old male, diagnosed pyogenic sacroiliitis with psoas abscess caused by Streptococcus intermedius and Sphingomonas paucimobilis. Magnetic resonance imaging showed multiloculated rim-enhancing lesion in right psoas muscle and joint effusion with osteomyelitis around sacroiliac joint. Intravenous antibiotics were administered after ultrasonographically guided abscess aspiration. Surgical drainage was done and his fever and symptom gradually subsided.
