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A challenging case of septic sacroiliitis with psoas involvement.
[pyomyositis]
We
report
on
a
rare
case
of
septic
arthritis
of
the
sacroiliac
joint
in
a
young
patient
without
apparent
predisposing
factors
.
A
22
-
year
-old
female
presented
with
severe
right
pelvic
and
gluteal
pain
and
systemic
illness
.
She
had
a
recent
diagnosis
of
bilateral
sacroiliitis
.
Systemic
illness
quickly
subsided
after
initiation
of
intravenous
antibiotic
treatment
.
Subsequently
,
gluteal
pain
gradually
diminished
.
Pyogenic
sacroiliitis
should
be
taken
into
account
in
patients
with
sacroiliitis
and
fever
onset
.
Magnetic
resonance
imaging
shows
signal
anomalies
well
beyond
disappearance
of
symptoms
,
which
may
or
may
not
require
prolonged
antibiotic
therapy
.
Diseases
Validation
Diseases presenting
"systemic illness"
symptom
pyomyositis
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