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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2022; 63(01): e63-e69
DOI: 10.1055/s-0042-1746201
Reporte de Caso | Case Report

Infectious Sacroiliitis Secondary to an Iliopsoas Abscess – A Case Report

Article in several languages: español | English
Isaac Vásquez-Cárdenas 
1   Servicio de Traumatología y Ortopedia, Hospital Regional Coyhaique, Coyhaique, Aysén, Chile
,
Enrique Fernández Rojas 
2   Servicio de Traumatología y Ortopedia, Hospital Las Higueras, Talcahuano, Biobío, Chile
,
Nicia Moldenhauer Barrientos 
3   Servicio de Medicina Interna, Hospital Regional Coyhaique, Coyhaique, Aysén, Chile
,
Waldo González Duque 
1   Servicio de Traumatología y Ortopedia, Hospital Regional Coyhaique, Coyhaique, Aysén, Chile
,
Jaime Valencia Estay 
1   Servicio de Traumatología y Ortopedia, Hospital Regional Coyhaique, Coyhaique, Aysén, Chile
,
Cristian Vásquez Parra
4   Servicio de Radiología, Hospital Regional Coyhaique, Coyhaique, Aysén, Chile
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Abstract

Infectious sacroiliitis (ISI), also described in the literature as septic or pyogenic sacroiliitis, is an infrequent pathology, and its diagnosis constitutes a challenge due to its relative rarity and the diverse clinical presentation, frequently imitating other more prevalent disorders originating in neighboring structures.

A high index of suspicion and a thorough physical examination are required in order to establish an opportune diagnosis, while laboratory and imaging studies help confirm the diagnosis and direct the appropriate treatment strategy to avoid complications and sequelae in the short and medium terms.

We herein present a case of a female patient aged 36 years, with a clinical picture of left ISI, secondary to an iliopsoas muscle abscess, a condition that usually presents as a complication of the infection. The clinical, imaging and microbiological diagnoses were made, the timely antibiotic treatment was initiated, and an excellent clinical evolution without sequelae was achieved.

Level of evidence IV.

Keywords

infectious sacroiliitis - iliopsoas abscess - septic arthritis

Disclaimer

The opinions expressed in the present article are exclusively the responsibility of the authors, and do not correspond to an official position of the institution.




Publication History

Received: 21 August 2020

Accepted: 04 February 2021

Article published online:
20 May 2022

© 2022. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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