Pyogenic Sacroiliitis due to Group A Streptococcus following Uncomplicated Pregnancy and Vaginal Delivery. (11th December 2013)

• Record Type: Journal Article
• Authors: Park, Yoon Sik; Owen, Alexander Michael; Adno, Alan Maurice; Marry, Jyothi
• Other Names: Ezra Y. Academic Editor.; Renner S. P. Academic Editor.; Schuetze P. Academic Editor.
• Is Part Of: Case reports in obstetrics and gynecology. Volume 2013(2013)
• Publication Date: 2013-12-11
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; Generative organs, Female -- Diseases -- Periodicals; Obstetrics; Gynecology; Genital Diseases, Female; Generative organs, Female -- Diseases; Gynecology; Obstetrics; Electronic journals; Periodicals; Periodicals; 618
• DOI: 10.1155/2013/981474
• Languages: English
• ISSNs: 2090-6684

Abstract

Abstract : Background . Although the incidence of pregnancy-associated pyogenic sacroiliitis is low, it is associated with significant morbidity and mortality. Timely diagnosis of the condition is challenging due to its nonspecific clinical features. Case . A 31-year-old primigravida had an uncomplicated pregnancy and labour. Postpartum, she developed persistent fever and debilitating hip pain on ambulation. White cell count was normal (7.3 × 10 9 /L) and C-reactive protein was elevated (468.4 mg/L). Streptococcus pyogenes was identified on vaginal swabs and blood cultures, and a pelvic magnetic resonance imaging scan revealed bilateral sacroiliitis. Conclusion . Pyogenic sacroiliitis is a potentially lethal cause of postpartum pain. It should be considered as a differential diagnosis even in low-risk women who present with debilitating pelvic pain in or around pregnancy, particularly when initial therapy appears unsuccessful.