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Infect Dis Obstet Gynecol. 2003; 11(1): 53–57.
PMCID: PMC1852269

Pregnancy-Associated Pyogenic Sacroiliitis: Case Report and Review


Background: Pyogenic sacroiliitis occurs infrequently during the peripartum period.

Case: A case at our institution and a review of the literature were analyzed. A total of 15 cases were discovered. The onset of illness was during pregnancy (40% of cases), within 3 weeks postpartum (40%) or post-abortion (20%), and the presentation was usually acute (< 7 days in 67% of cases). Frequent manifestations included localized pain in the hips or buttock, sacroiliac joint tenderness and fever. Computed tomography or magnetic resonance imaging revealed joint involvement in all cases tested. Microbiology was confirmed by blood (40%) or joint aspirate (75%), and most patients were treated with antibiotics. Surgical intervention took place in five cases. Pretermlabor was reported in only one case. All patients respondedwell to therapy without locomotive disability, and persistent pain was uncommon.

Conclusion: Septic sacroiliitis should be considered in peripartum patients who present with fever and severe localized pain. Medical management is usually curative, and without an adverse effect on pregnancy.

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Selected References

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  • Vyskocil JJ, McIlroy MA, Brennan TA, Wilson FM. Pyogenic infection of the sacroiliac joint. Case reports and review of the literature. Medicine (Baltimore) 1991 May;70(3):188–197. [PubMed]
  • Zimmermann B, 3rd, Mikolich DJ, Lally EV. Septic sacroiliitis. Semin Arthritis Rheum. 1996 Dec;26(3):592–604. [PubMed]
  • Gordon G, Kabins SA. Pyogenic sacroiliitis. Am J Med. 1980 Jul;69(1):50–56. [PubMed]
  • Wilbur AC, Langer BG, Spigos DG. Diagnosis of sacroiliac joint infection in pregnancy by magnetic resonance imaging. Magn Reson Imaging. 1988 May-Jun;6(3):341–343. [PubMed]
  • Tisserant R, Loeuille D, Péré P, Gaucher A, Pourel J, Blum A. Septic sacroiliitis during the postpartal period. Diagnostic contribution of magnetic resonance imaging. Rev Rhum Engl Ed. 1999 Oct;66(10):512–515. [PubMed]
  • Sandrasegaran K, Saifuddin A, Coral A, Butt WP. Magnetic resonance imaging of septic sacroiliitis. Skeletal Radiol. 1994 May;23(4):289–292. [PubMed]
  • Siam AR, Hammoudeh M, Uwaydah AK. Pyogenic sacroiliitis in Qatar. Br J Rheumatol. 1993 Aug;32(8):699–701. [PubMed]
  • Linnet KM, Gammelgaard L, Johansen M, Krarup N, Rasmussen KL. Bilateral pyogenic sacroiliitis following uncomplicated pregnancy and labor. Acta Obstet Gynecol Scand. 1996 Nov;75(10):950–951. [PubMed]
  • Egerman RS, Mabie WC, Eifrid M, Whitnack E, Sibai BM. Sacroiliitis associated with pyelonephritis in pregnancy. Obstet Gynecol. 1995 May;85(5 Pt 2):834–835. [PubMed]
  • L'episcopo JB. SUPPURATIVE ARTHRITIS OF THE SACRO-ILIAC JOINT. Ann Surg. 1936 Aug;104(2):289–303. [PMC free article] [PubMed]

Articles from Infectious Diseases in Obstetrics and Gynecology are provided here courtesy of Hindawi Publishing Corporation


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