Pyogenic Sacroiliitis in a 13-Month-Old Child: A Case Report and Literature Review.

Abstract:

:Pyogenic sacroiliitis is exceptional in very young children. Diagnosis is difficult because clinical examination is misleading. FABER test is rarely helpful in very young children. Inflammatory syndrome is frequent. Bone scintigraphy and MRI are very sensitive for the diagnosis. Joint fluid aspiration and blood cultures are useful to identify the pathogen. Appropriate antibiotic therapy provides rapid regression of symptoms and healing. We report the case of pyogenic sacroiliitis in a 13-month-old child.Clinical, biological, and imaging data of this case were reviewed and reported retrospectively.A 13-month-old girl consulted for decreased weight bearing without fever or trauma. Clinical examination was not helpful. There was an inflammatory syndrome. Bone scintigraphy found a sacroiliitis, confirmed on MRI. Aspiration of the sacroiliac joint was performed. Empiric intravenous biantibiotic therapy was started. Patient rapidly recovered full weight bearing. On the 5th day, clinical examination and biological analysis returned to normal. Intravenous antibiotic therapy was switched for oral. One month later, clinical examination and biological analysis were normal and antibiotic therapy was stopped.Hematogenous osteoarticular infections are common in children but pyogenic sacroiliitis is rare and mainly affects older children. Diagnosis can be difficult because clinical examination is poor. Moreover, limping and decreased weight bearing are very common reasons for consultation. This may delay the diagnosis or refer misdiagnosis. Bone scintigraphy is useful to locate a bone or joint disease responsible for limping. In this observation, bone scintigraphy located the infection at the sacroiliac joint. Given the young age, MRI was performed to confirm the diagnosis. Despite the very young age of the patient, symptoms rapidly disappeared with appropriate antibiotic therapy.We report the case of pyogenic sacroiliitis in a 13-month-old child. It reminds the risk of misdiagnosing pyogenic sacroiliitis in children because it is exceptional and clinical examination is rarely helpful. It also highlights the usefulness of bone scintigraphy and MRI in osteoarticular infections in children.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Leroux J,Bernardini I,Grynberg L,Grandguillaume C,Michelin P,Ould Slimane M,Nectoux E,Deroussen F,Gouron R,Angelliaume A,Ilharreborde B,Renaux-Petel M

doi

10.1097/MD.0000000000001581

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

e1581

issue

42

eissn

0025-7974

issn

1536-5964

pii

00005792-201510030-00009

journal_volume

94

pub_type

杂志文章,评审

相关文献

MEDICINE文献大全
  • Pharmacokinetic evaluation of MFF in combinations with tacrolimus and cyclosporine. Findings of C0 and AUC.

    abstract::We hypothesized that area under the concentration time curve (AUC(0-12)) is more accurate pharmacokinetic predictor vs trough level of mycophenolic acid (C0).Study was performed at the University Hospital of Limoges (France) and included 238 renal recipients aged 22 to 82 years. Risk of nephropathy was evaluated by an...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019441

    authors: Radzevičienė A,Stankevičius E,Saint-Marcoux F,Marquet P,Maslauskienë R,Kaduševičius E

    更新日期:2020-03-01 00:00:00

  • Infective endocarditis caused by slow-growing, fastidious, Gram-negative bacteria.

    abstract::In a review of endocarditis caused by fastidious, slow-growing gram-negative rods, similarities in the spectrum of disease overshadow differences among cases grouped by specific organisms. Cardiobacterium hominis, Actinobacillus actinomycetemcomitans and Haemophilus species usually seed previously damaged cardiac valv...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/00005792-197903000-00003

    authors: Ellner JJ,Rosenthal MS,Lerner PI,McHenry MC

    更新日期:1979-03-01 00:00:00

  • Characteristics of Cobb angle distribution in the main thoracolumbar/lumbar curve in adolescent idiopathic scoliosis: A retrospective controlled clinical study.

    abstract::A single-center retrospective analysis of 46 patients with Lenke 5 adolescent idiopathic scoliosis (AIS).To compare Cobb angle distribution in different segments of the main thoracolumbar/lumbar curve in patients with Lenke 5 AIS, and differences in the lateral-bending flexibility, the correction rate, and correction ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011216

    authors: Zhao J,Fan J,Shen H,Yang C,Chen Y,Li M

    更新日期:2018-06-01 00:00:00

  • A Congenital Peribronchial Myofibroblastic Tumor Detected in a Premature Infant at 28 Weeks but That Resolved in the Late Stage of Pregnancy: A Case Report.

    abstract::A congenital peribronchial myofibroblastic tumor (CPMT) is a rare benign tumor arising from the lungs. Although CPMT is a benign tumor, it is characterized by rapid growth, and is easily misdiagnosed during the prenatal period when the symptoms are nonspecific. The authors present a rare case of CPMT in a premature in...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001842

    authors: Xia B,Yu G,Hong C,Zhang L,Tang J,Liu C

    更新日期:2015-10-01 00:00:00

  • Borderline tuberculoid leprosy mimicking sarcoidosis: A case report.

    abstract:INTRODUCTION:Leprosy is a chronic infectious granulomas disease caused by Mycobacterium leprae that can manifest as a wide variety of immunological and clinical features. CASE SUMMARY:Here, we describe the case of a woman with clinical characteristics of borderline tuberculoid (BT) leprosy that manifested as 3 asymmet...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011616

    authors: Liu J,Wen Y,Xing Y,Wang S

    更新日期:2018-08-01 00:00:00

  • Efficacy of levetiracetam compared with phenytoin in prevention of seizures in brain injured patients: A meta-analysis.

    abstract:BACKGROUND:Early and/or late onset in patients with brain injury (BI) is associated with a poorer prognosis, and phenytoin (PHT) is standard of care to prevent seizures. Levetiracetam (LEV), an alternative antiepileptic drug, is associated with less cognitive disruption. The purpose of this study was to evaluate the sa...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000013247

    authors: Zhao L,Wu YP,Qi JL,Liu YQ,Zhang K,Li WL

    更新日期:2018-11-01 00:00:00

  • Respiratory Syncytial Virus Coinfections With Rhinovirus and Human Bocavirus in Hospitalized Children.

    abstract::It is not clearly established if coinfections are more severe than single viral respiratory infections.The aim of the study was to study and to compare simple infections and viral coinfections of respiratory syncytial virus (RSV) in hospitalized children.From September 2005 to August 2013, a prospective study was cond...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001788

    authors: Calvo C,García-García ML,Pozo F,Paula G,Molinero M,Calderón A,González-Esguevillas M,Casas I

    更新日期:2015-10-01 00:00:00

  • Total Hemi-overgrowth in Pigmentary Mosaicism of the (Hypomelanosis of) Ito Type: Eight Case Reports.

    abstract::Pigmentary mosaicism of the (hypomelanosis of) Ito type is an umbrella term, which includes phenotypes characterized by mosaic hypopigmentation in the form of streaks, whorls, patchy, or more bizarre skin configurations (running along the lines of Blaschko): these cutaneous patterns can manifest as an isolated skin di...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002705

    authors: Pavone V,Signorelli SS,Praticò AD,Corsello G,Savasta S,Falsaperla R,Pavone P,Sessa G,Ruggieri M

    更新日期:2016-03-01 00:00:00

  • The syndrome of distal (type 1) renal tubular acidosis. Clinical and laboratory findings in 58 cases.

    abstract::The clinical and laboratory findings in 14 infants, 2 children and 42 adults with RTA-1 have been retrospectively analyzed and the patients classified as having the hereditary (14%), acquired (31%), or idiopathic (55%) form. In 7 of the 8 hereditary cases, RTA-1 appeared to be a complication of hereditary hypercalciur...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/00005792-198803000-00002

    authors: Caruana RJ,Buckalew VM Jr

    更新日期:1988-03-01 00:00:00

  • Sudden death due to traumatic ascending aortic pseudoaneurysms ruptured into the esophagus: 2 case reports.

    abstract::We present 2 rare cases of patients with uncontrolled hemorrhagic shock induced by traumatic ascending aortic pseudoaneurysm rupture into the esophagus. Two men were presented to the hospital after traffic accidents. Their chest radiograph showed no obvious signs of aortic damage or aortic pseudoaneurysms but only a s...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000716

    authors: He S,Chen X,Zhou X,Hu Q,Ananda S,Zhu S

    更新日期:2015-04-01 00:00:00

  • Effect of shikonin on the proliferation and apoptosis of human ovarian cancer cell SKOV3: A protocol of systematic review and meta-analysis.

    abstract:BACKGROUND:This study will investigate the effect of shikonin on the proliferation and apoptosis of human ovarian cancer cell SKOV3 (HOCC-SKOV3). METHODS:We will retrieve potential studies from inception to the March 1, 2020 in Cochrane Library, MEDLINE, EMBASE, Scopus, Cumulative Index to Nursing and Allied Health Li...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020450

    authors: Zhang DF,Zhao DX,Liu XZ,Li J,Hu YH,Dou PH

    更新日期:2020-05-29 00:00:00

  • Cardiac malignant peripheral nerve sheath tumor on computed tomography and magnetic resonance imaging: A case report.

    abstract:RATIONALE:Malignant peripheral nerve sheath tumor (MPNST) is a very rare sarcoma of the heart, and few cases have been reported. Herein, we retrospectively reviewed clinical manifestations, imaging features and management of our patient and other reported cases. PATIENT CONCERNS:A 32-year-old woman was referred to the...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017463

    authors: Li S,Qiu Y,Yu J,Liang C,Peng L

    更新日期:2019-11-01 00:00:00

  • All-inside versus inside-out suture techniques in arthroscopic meniscus repair: A prospective randomized study protocol.

    abstract:BACKGROUND:With advancements in our understanding of meniscal function, treatment options for meniscal injuries have evolved considerably over the past few decades. The aim of the current study was to compare the all-inside and inside-out techniques with regard to retear rate, functional outcomes, and perioperative com...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020688

    authors: Lin Y,Zhao J,Qiu H,Huang Y

    更新日期:2020-07-02 00:00:00

  • Gonadotropin-Releasing Hormone Stimulate Aldosterone Production in a Subset of Aldosterone-Producing Adenoma.

    abstract::We aimed to detect novel genes associated with G protein-coupled receptors (GPCRs) in aldosterone-producing adenoma (APA) and elucidate the mechanisms underlying aldosterone production.Microarray analysis targeting GPCR-associated genes was conducted using APA without known mutations (APA-WT) samples (n = 3) and APA w...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003659

    authors: Kishimoto R,Oki K,Yoneda M,Gomez-Sanchez CE,Ohno H,Kobuke K,Itcho K,Kohno N

    更新日期:2016-05-01 00:00:00

  • The impact of lymphovascular invasion in patients with prostate cancer following radical prostatectomy and its association with their clinicopathological features: An updated PRISMA-compliant systematic review and meta-analysis.

    abstract:OBJECTIVE:Numerous studies have shown that lymphovascular invasion (LVI) is linked to biochemical recurrence (BCR) in prostate cancer (PCa) patients following radical prostatectomy (RP). However, the actual clinicopathological impacts of LVI remain unclear. Thus, we performed a meta-analysis to evaluate the pathologic ...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000013537

    authors: Jiang W,Zhang L,Wu B,Zha Z,Zhao H,Jun Y,Jiang Y

    更新日期:2018-12-01 00:00:00

  • The therapeutic efficacy of Chinese patent medicine combined with routine western medicine in the treatment of coronavirus disease 2019 (COVID-19): A protocol for systematic review and meta-analysis.

    abstract:BACKGROUND:Coronavirus disease 2019 (COVID-19) is a potentially fatal disease. clinical practice shows that Chinese Patent Medicine (CPM) has played an important role in the outbreak, Among them, Jinhua Qinggan granules, Lianhua Qingwen capsule, and Xuebiqing injection have an effect in treating COVID-19 patients, but ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022277

    authors: Zhang J,Li S,Zhao C,Wang W,Li F,Li F

    更新日期:2020-09-18 00:00:00

  • Dacryocystitis secondary to neglected silicone tube in lacrimal duct for 10 years: A case report.

    abstract:INTRODUCTION:Contracture of dacryocyst by an implanted lacrimal silicone tube is rare. This report describes a unique case of secondary dacryocystitis and the contracture of dacryocyst caused by a lacrimal silicone tube that was placed in the lacrimal system for 10 years. PATIENT CONCERNS:A 63-year-old female was diag...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023073

    authors: Li L,Lai Z,Huang W,Xu F,Wu Y

    更新日期:2020-11-06 00:00:00

  • A predictive model for carcinogenesis in patients with chronic hepatitis B undergoing entecavir therapy and its validation.

    abstract::We created a model to predict the development of liver carcinogenesis in patients with chronic hepatitis B (CHB) undergoing entecavir (ETV) therapy and to validate the accuracy using an independent dataset.A total of 328 CHB subjects were analyzed. Subjects were randomly assigned into 2 groups: the training group (n =...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004832

    authors: Nishikawa H,Nishijima N,Enomoto H,Sakamoto A,Nasu A,Komekado H,Nishimura T,Kita R,Kimura T,Iijima H,Nishiguchi S,Osaki Y

    更新日期:2016-09-01 00:00:00

  • Erratum: A simple blind placement of the left-sided double-lumen tubes: Erratum.

    abstract::[This corrects the article DOI: 10.1097/MD.0000000000005376.]. ...

    journal_title:Medicine

    pub_type: 已发布勘误

    doi:10.1097/MD.0000000000006196

    authors:

    更新日期:2017-02-17 00:00:00

  • Difficult extubation of a damaged neural integrity monitor electromyogram tracheal tube: A case report.

    abstract:INTRODUCTION:The purpose of a neural integrity monitor electromyogram (EMG) tracheal tube is to reduce the risk of damage to the recurrent laryngeal nerves. Complications associated with the use of EMG tube are ventilatory failure, tracheal injury, and difficult extubation. PATIENT CONCERNS:We encountered a case of di...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020250

    authors: Moon H,Hong S,Sung C,Chon J,Kwak J,Lee J

    更新日期:2020-06-19 00:00:00

  • Women successfully treated for severe intrahepatic cholestasis of pregnancy do not have increased risks for adverse perinatal outcomes.

    abstract::Intrahepatic cholestasis of pregnancy (ICP) increases adverse perinatal outcome (APO) incidence. Whether successful treatment of severe ICP reduces APO risk is unclear.This retrospective, single-center study in China enrolled consecutive women with ICP who had term delivery (≥37 weeks, singleton) between August 2013 a...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016214

    authors: Yang J,Chen C,Liu M,Zhang S

    更新日期:2019-07-01 00:00:00

  • Personalized Estimate of Chemotherapy-Induced Nausea and Vomiting: Development and External Validation of a Nomogram in Cancer Patients Receiving Highly/Moderately Emetogenic Chemotherapy.

    abstract::Chemotherapy-induced nausea and vomiting (CINV) is presented in over 30% of cancer patients receiving highly/moderately emetogenic chemotherapy (HEC/MEC). The currently recommended antiemetic therapy is merely based on the emetogenic level of chemotherapy, regardless of patient's individual risk factors. It is, theref...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0000000000002476

    authors: Hu Z,Liang W,Yang Y,Keefe D,Ma Y,Zhao Y,Xue C,Huang Y,Zhao H,Chen L,Chan A,Zhang L

    更新日期:2016-01-01 00:00:00

  • Association analysis of CHRNA3 polymorphisms with schizophrenia in a Chinese Han population: A case-control study.

    abstract::Schizophrenia (SCZ) is a highly heritable, chronic, severe psychiatric disorder associated with significant financial costs to families and societies. In this case-control study, we investigated the associations between seven SNPs in CHRNA3 gene and the risk of SCZ.A total of 1071 (384 cases and 687 controls) unrelate...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010863

    authors: Li G,Bai M,Guo C,Zhu L,Wang L,Yuan D,Jin T,He Y

    更新日期:2018-06-01 00:00:00

  • Multiple cerebral gliomas mimicking central nervous system inflammatory demyelinating diseases: A rare case with review of literature.

    abstract:RATIONALE:Multiple cerebral gliomas (MCGs), usually classified into multifocal and multicentric subtypes, represent major diagnostic challenges as their clinical, radiologic, and pathohistological features are not uniform, often mimicking brain metastatic tumors or central nervous system inflammatory demyelinating dise...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000009456

    authors: Xiong YJ,Zhao XL,Wang XY,Pan DJ,Tian DS

    更新日期:2017-12-01 00:00:00

  • Transient sick sinus syndrome with complete atrioventricular block associated with ergonovine intake: A case report.

    abstract:RATIONALE:More mature or older women are more likely to undergo in vitro fertilization and embryo implant. These women have a greater chance of receiving ergonovine therapy because of a suspected abortion. We present this case report to call attention to a latent lethal adverse effect in everyday obstetric practice usi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008559

    authors: Wang HT,Liu WH,Chen YL

    更新日期:2017-11-01 00:00:00

  • Congenital chloride losing diarrhea: A single center experience in a highly consanguineous population.

    abstract::Congenital chloride losing diarrhea (CCLD) is a rare type of chronic watery diarrhea due to mutations in SLC26A3 gene leading to defective chloride-bicarbonate exchanges with the resultant loss of chloride and retention of bicarbonate.We aim to define pediatric Saudi CCLD patients' characteristics to achieve prompt di...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015928

    authors: Kamal NM,Khan HY,El-Shabrawi MHF,Sherief LM

    更新日期:2019-05-01 00:00:00

  • Combined endoscopic submucosal dissection and transanal minimally invasive surgery for the management of lower rectal adenoma extending above the dentate line: A case report.

    abstract:RATIONALE:Minimally invasive surgery is used to treat early colorectal tumors. Endoscopic submucosal dissection (ESD) for resection of tumors extending above the dentate line (particularly those with concomitant hemorrhoids) is technically difficult. We present a case of a patient with a lower rectal adenoma extending ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015289

    authors: Nepal P,Mori S,Kita Y,Tanabe K,Baba K,Sasaki F,Nasu Y,Ido A,Uchikado Y,Kurahara H,Arigami T,Sakoda M,Maemura K,Natsugoe S

    更新日期:2019-05-01 00:00:00

  • Serum Sclerostin as an Independent Marker of Peripheral Arterial Stiffness in Renal Transplantation Recipients: A Cross-Sectional Study.

    abstract::Wnt/β-catenin signaling pathway is thought to be implicated in the development of arterial stiffness and vascular calcification. As a Wnt signaling pathway inhibitor, it is interesting to investigate whether sclerostin or dickkopf-1 (DKK1) level is correlated with arterial stiffness in renal transplant (RT) recipients...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003300

    authors: Hsu BG,Liou HH,Lee CJ,Chen YC,Ho GJ,Lee MC

    更新日期:2016-04-01 00:00:00

  • Complete androgen insensitivity syndrome in a young woman with metabolic disorder and diabetes: A case report.

    abstract:RATIONALE:Androgen insensitivity syndrome (CAIS) is a rare X-linked recessive androgen receptor disorder characterized by complete resistance to the actions of androgen in an individual with 46,XY karyotype. Metabolic disorder and diabetes has been rarely reported in these patients. PATIENT CONCERNS:A 22-year-old fema...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011353

    authors: Yang P,Liu X,Gao J,Qu S,Zhang M

    更新日期:2018-08-01 00:00:00

  • Usefulness of Ultrasonography for Diagnosis of Small Bowel Tumors: A Comparison Between Ultrasonography and Endoscopic Modalities.

    abstract::Ultrasonography is a standard, noninvasive modality used to evaluate patients with gastrointestinal diseases. This study assessed the usefulness of ultrasonography in the detection of small bowel tumors. This study enrolled 558 consecutive patients (295 males, 263 females; mean age 71.1 years) who underwent ultrasonog...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001464

    authors: Fujita M,Manabe N,Honda K,Murao T,Osawa M,Kawai R,Akiyama T,Shiotani A,Haruma K,Hata J

    更新日期:2015-10-01 00:00:00