Pyogenic staphylococcal sacroiliitis diagnosed by three-phase bone scan

Česká verzia

Authors: Pavel Širůček ^1,2; Adela Holeszová ³; Martin Havel ^1,2; Pavel Koscielnik ^2,4
Authors place of work: Klinika nukleární medicíny, FN Ostrava ¹; Lékařská fakulta Ostravské univerzity ²; Dětské oddělení nemocnice, Havířov ³; Radiodiagnostický ústav, FN Ostrava ⁴
Published in the journal: NuklMed 2013;2:68-70
Category: Casuistry

Summary

A case of 11-year-old girl with the acute pain of the lumbar spine, pelvis and proximal part of the left thigh is presented. Three-phase bone scintigraphy detected increased accumulation of^99mTc-hydroxydiphosphonate in the left sacroiliac joint. This result supported diagnosis of the septic inflammation of the left sacroiliac joint. The blood culture was positive for Staphylococcus aureus. Parenteral antibiotic treatment led to the decrease of inflammatory parameters and pain reduction. Due to the formation of abscess between the left hip bone and iliac muscle the pus evacuation was performed under general anesthesia. Staphylococcal sacroiliitis requires rapid diagnosis, targeted antibiotic therapy and surgical management of complications.

Key words:
pyogenic sacroiliitis, three-phase bone scan

Zdroje

1. Schaad UB, McCracken GH, Nelson JD. Pyogenic Arthritis of the Sacroiliac Joint in Pediatric Patients. Pediatrics 1980;66:375-379

2. Almoujahed MO, Khatib R, Baran J. Pregnancy-associated pyogenic sacroiliitis: case report and review. Infect Dis Obstet Gynecol 2003;11:53-57

3. Doita M, Yoshiya S, Nabeshima Y et al. Acute pyogenic sacroiliitis without predisposing conditions. Spine 2003;28:E384-389

4. Wu MS, Chang SS, Lee SH, Lee CC. Pyogenic sacroiliitis - a comparison between paediatric and adult patients. Rheumatology (Oxford) 2007;46:1684-1687

5. Chi-Lai Ho, Wing Cheung Wu, Sirong Chen et al. F-18 FDG PET/CT in an Adult Case of Group B Streptococcal Sacroiliitis. Clin Nucl Med 2010;35:834-835

Štítky

Nuclear medicine Radiodiagnostics Radiotherapy

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Článok vyšiel v časopise

Nuclear Medicine

2013 Číslo 4

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