Pregnancy-Associated Sacroiliitis following an Uncomplicated Pregnancy
Pregnancy-associated sacroiliitis is infrequent during the peripartum period. Although pregnancy-associated pyogenic sacroiliitis rarely occurs, it is associated with significant morbidity and mortality. A timely diagnosis of the disease is challenging due to its nonspecific clinical symptoms. We re...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/3596672 |
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| author | Maryam Ahmadi Farid Abiri Somaieh Ahmadiani Ensiyeh Jenabi |
| author_facet | Maryam Ahmadi Farid Abiri Somaieh Ahmadiani Ensiyeh Jenabi |
| author_sort | Maryam Ahmadi |
| collection | DOAJ |
| description | Pregnancy-associated sacroiliitis is infrequent during the peripartum period. Although pregnancy-associated pyogenic sacroiliitis rarely occurs, it is associated with significant morbidity and mortality. A timely diagnosis of the disease is challenging due to its nonspecific clinical symptoms. We reviewed a case that experienced an acute illness during pregnancy. The illness was manifested by localized pain in the hips or buttocks, sacroiliac joint tenderness, and debilitating hip pain during ambulation. Magnetic resonance imaging revealed little joint involvement, and the patient was treated with antibiotics, nonsteroidal anti-inflammatory drugs (NSAIDs), and glucocorticoids. The patient responded well to the therapy with marked improvement in her ambulation. Septic sacroiliitis should be considered in peripartum patients presenting with increased inflammatory markers and severe localized pain. Medical management is usually curative and without an adverse effect on pregnancy. Although we could not perform a biopsy to verify the cause of the disease, the patient’s excellent response to the treatment confirmed our diagnosis. |
| format | Article |
| id | doaj-art-fbc7513e22dd425c947862ac6c593444 |
| institution | Kabale University |
| issn | 1687-9635 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-fbc7513e22dd425c947862ac6c5934442025-02-03T01:22:26ZengWileyCase Reports in Medicine1687-96352022-01-01202210.1155/2022/3596672Pregnancy-Associated Sacroiliitis following an Uncomplicated PregnancyMaryam Ahmadi0Farid Abiri1Somaieh Ahmadiani2Ensiyeh Jenabi3Clinical Research Development Unit of Fatemieh HospitalOrthopedic Surgury ResidentClinical Research Development Unit of Fatemieh HospitalAutism Spectrum Disorders Research CenterPregnancy-associated sacroiliitis is infrequent during the peripartum period. Although pregnancy-associated pyogenic sacroiliitis rarely occurs, it is associated with significant morbidity and mortality. A timely diagnosis of the disease is challenging due to its nonspecific clinical symptoms. We reviewed a case that experienced an acute illness during pregnancy. The illness was manifested by localized pain in the hips or buttocks, sacroiliac joint tenderness, and debilitating hip pain during ambulation. Magnetic resonance imaging revealed little joint involvement, and the patient was treated with antibiotics, nonsteroidal anti-inflammatory drugs (NSAIDs), and glucocorticoids. The patient responded well to the therapy with marked improvement in her ambulation. Septic sacroiliitis should be considered in peripartum patients presenting with increased inflammatory markers and severe localized pain. Medical management is usually curative and without an adverse effect on pregnancy. Although we could not perform a biopsy to verify the cause of the disease, the patient’s excellent response to the treatment confirmed our diagnosis.http://dx.doi.org/10.1155/2022/3596672 |
| spellingShingle | Maryam Ahmadi Farid Abiri Somaieh Ahmadiani Ensiyeh Jenabi Pregnancy-Associated Sacroiliitis following an Uncomplicated Pregnancy Case Reports in Medicine |
| title | Pregnancy-Associated Sacroiliitis following an Uncomplicated Pregnancy |
| title_full | Pregnancy-Associated Sacroiliitis following an Uncomplicated Pregnancy |
| title_fullStr | Pregnancy-Associated Sacroiliitis following an Uncomplicated Pregnancy |
| title_full_unstemmed | Pregnancy-Associated Sacroiliitis following an Uncomplicated Pregnancy |
| title_short | Pregnancy-Associated Sacroiliitis following an Uncomplicated Pregnancy |
| title_sort | pregnancy associated sacroiliitis following an uncomplicated pregnancy |
| url | http://dx.doi.org/10.1155/2022/3596672 |
| work_keys_str_mv | AT maryamahmadi pregnancyassociatedsacroiliitisfollowinganuncomplicatedpregnancy AT faridabiri pregnancyassociatedsacroiliitisfollowinganuncomplicatedpregnancy AT somaiehahmadiani pregnancyassociatedsacroiliitisfollowinganuncomplicatedpregnancy AT ensiyehjenabi pregnancyassociatedsacroiliitisfollowinganuncomplicatedpregnancy |