PMID: 9191746Jun 1, 1997Paper

Pneumococcal sacroiliitis

Southern Medical Journal
A G PinsonA R Balkissoon

Abstract

We report an unusual case of Streptococcus pneumoniae sacroiliitis in a previously healthy 31-year-old woman. Six cases of pneumococcal sacroiliitis have been reported; the only two cases in adults occurred in young women in the preantibiotic era. Our patient had fever and a depressed level of consciousness, with subsequent right buttock and thigh pain. Blood cultures revealed S pneumoniae, and a bone scan showed increased tracer activity in the right sacroiliac joint. Although the cerebrospinal fluid white blood cell count was only 3/microL, culture of cerebrospinal fluid grew S pneumoniae. Our patient was successfully treated with a 6-week course of intravenous antibiotics (penicillin G after an initial week of ceftriaxone), followed by 2 weeks of oral penicillin therapy.

Citations

Jan 23, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·John J RossDaniel S Shapiro
Jan 23, 1999·Heart & Lung : the Journal of Critical Care·R Oliker, B A Cunha
Aug 18, 1999·The American Journal of Medicine·S N Taylor, C V Sanders

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