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Pyomyositis of the iliacus muscle and pyogenic sacroiliitis after sacroiliac joint block -A case report-.
[pyomyositis]
Sacroiliac
joint
block
can
be
performed
for
the
diagnosis
and
treatment
of
sacroiliac
joint
dysfunction
.
Although
sacroiliac
joint
block
is
a
common
procedure
,
complications
have
not
been
reported
in
detail
.
We
report
a
case
of
iliacus
pyomyositis
and
sacroiliac
joint
infection
following
a
sacroiliac
joint
block
.
A
70
-
year
-old
female
patient
received
sacroiliac
joint
blocks
to
relieve
pelvic
pain
.
The
patient
was
admitted
to
the
emergency
room
two
days
after
the
final
sacroiliac
joint
block
(
SIJB
)
with
the
chief
complaints
of
left
pelvic
pain
corresponding
to
a
visual
analogue
scale
(
VAS
)
score
of
9
and
fever
.
A
pelvic
MRI
indicated
a
diagnosis
of
myositis
.
After
1
month
of
continuous
antibiotic
therapy
,
the
patient
's
erythrocyte
sedimentation
rate
(
ESR
)
and
C-
reactive
protein
(
CRP
)
level
remained
elevated
.
A
(
67
)
Ga
SPECT
/
CT
was
done
.
Abnormal
uptake
was
seen
at
the
left
sacroiliac
joint
(
SIJ
)
,
and
septic
sacroiliitis
was
suspected
.
The
CRP
normalized
to
0
.
29
mg
/
dl
and
the
ESR
decreased
to
60
mm
/
hr
,
and
the
patient
had
no
fever
after
57
days
of
antibiotic
therapy
.
She
was
directed
for
follow
up
at
an
outpatient
clinic
.
