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Pyogenic Sacroiliitis in a Pediatric Patient: A Rare Case of Infection by Streptococcus intermedius

This is a case report of pyogenic sacroiliitis in a pediatric patient caused by Streptococcus intermedius. The patient is a 16-year-old boy who presented to an emergency department with sudden onset of back pain radiating to the left lower extremity. The diagnosis was confounded by the presence of i...

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Autores principales: Nogueira, Helder, Pereira, Joana, Couto, André, Alves, Jorge, Lopes, Daniel, Freitas, Joana, Alegrete, Nuno, Costa, Gilberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145553/
https://www.ncbi.nlm.nih.gov/pubmed/30280145
http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00052
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author Nogueira, Helder
Pereira, Joana
Couto, André
Alves, Jorge
Lopes, Daniel
Freitas, Joana
Alegrete, Nuno
Costa, Gilberto
author_facet Nogueira, Helder
Pereira, Joana
Couto, André
Alves, Jorge
Lopes, Daniel
Freitas, Joana
Alegrete, Nuno
Costa, Gilberto
author_sort Nogueira, Helder
collection PubMed
description This is a case report of pyogenic sacroiliitis in a pediatric patient caused by Streptococcus intermedius. The patient is a 16-year-old boy who presented to an emergency department with sudden onset of back pain radiating to the left lower extremity. The diagnosis was confounded by the presence of isthmic spondylolisthesis. Plain radiography demonstrated mild isthmic spondylolisthesis but no radiographic signs of tumor, trauma, infection, arthritis, or other developmental problems. The C-reactive protein level was 23 mg/L. Over the next 24 hours, the patient developed fever, and the C-reactive protein level increased to 233 mg/L. Sacroiliitis and an iliopsoas abscess were identified on MRI. Blood cultures grew S intermedius. The patient responded to antibiotic treatment and needle aspiration under CT guidance. Sacroiliitis is an uncommon condition and, to our knowledge, there is only one other case report of its being caused by S intermedius. The previous report was in an adult.
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spelling pubmed-61455532018-10-02 Pyogenic Sacroiliitis in a Pediatric Patient: A Rare Case of Infection by Streptococcus intermedius Nogueira, Helder Pereira, Joana Couto, André Alves, Jorge Lopes, Daniel Freitas, Joana Alegrete, Nuno Costa, Gilberto J Am Acad Orthop Surg Glob Res Rev Case Report This is a case report of pyogenic sacroiliitis in a pediatric patient caused by Streptococcus intermedius. The patient is a 16-year-old boy who presented to an emergency department with sudden onset of back pain radiating to the left lower extremity. The diagnosis was confounded by the presence of isthmic spondylolisthesis. Plain radiography demonstrated mild isthmic spondylolisthesis but no radiographic signs of tumor, trauma, infection, arthritis, or other developmental problems. The C-reactive protein level was 23 mg/L. Over the next 24 hours, the patient developed fever, and the C-reactive protein level increased to 233 mg/L. Sacroiliitis and an iliopsoas abscess were identified on MRI. Blood cultures grew S intermedius. The patient responded to antibiotic treatment and needle aspiration under CT guidance. Sacroiliitis is an uncommon condition and, to our knowledge, there is only one other case report of its being caused by S intermedius. The previous report was in an adult. Wolters Kluwer 2018-07-09 /pmc/articles/PMC6145553/ /pubmed/30280145 http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00052 Text en Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0 (CC BY-ND) (http://creativecommons.org/licenses/by-nd/4.0/) which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author.
spellingShingle Case Report
Nogueira, Helder
Pereira, Joana
Couto, André
Alves, Jorge
Lopes, Daniel
Freitas, Joana
Alegrete, Nuno
Costa, Gilberto
Pyogenic Sacroiliitis in a Pediatric Patient: A Rare Case of Infection by Streptococcus intermedius
title Pyogenic Sacroiliitis in a Pediatric Patient: A Rare Case of Infection by Streptococcus intermedius
title_full Pyogenic Sacroiliitis in a Pediatric Patient: A Rare Case of Infection by Streptococcus intermedius
title_fullStr Pyogenic Sacroiliitis in a Pediatric Patient: A Rare Case of Infection by Streptococcus intermedius
title_full_unstemmed Pyogenic Sacroiliitis in a Pediatric Patient: A Rare Case of Infection by Streptococcus intermedius
title_short Pyogenic Sacroiliitis in a Pediatric Patient: A Rare Case of Infection by Streptococcus intermedius
title_sort pyogenic sacroiliitis in a pediatric patient: a rare case of infection by streptococcus intermedius
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145553/
https://www.ncbi.nlm.nih.gov/pubmed/30280145
http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00052
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