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


: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.


Medicine (Baltimore)




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




Has Abstract


2015-10-01 00:00:00
















  • Effectiveness of neuromuscular electrical stimulation combined with rehabilitation training for treatment of post-stroke limb spasticity.

    abstract:BACKGROUND:This study aims to systematically explore the effectiveness of neuromuscular electrical stimulation (NMES) combined with rehabilitation training (RT) for the treatment of post-stroke limb spasticity (PSLS). METHODS:We will search Cochrane Library, MEDILINE, EMBASE, CINAHL, AMED, PsycINFO, WOS, Scopus, OpenG...


    pub_type: 杂志文章


    authors: He YL,Gao Y,Fan BY

    更新日期:2019-09-01 00:00:00

  • Effect of educational interventions on health in childhood: A meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:The purpose of this study was to summarize the evidences from randomized controlled trials (RCTs) investigating the effects of educational interventions in overweight/obesity childhood by using meta-analytic approach. METHODS:PubMed, Embase, and the Cochrane Library databases were searched from the inceptio...


    pub_type: 杂志文章,meta分析,评审


    authors: Wang X,Zhou G,Zeng J,Yang T,Chen J,Li T

    更新日期:2018-09-01 00:00:00

  • Early oral feeding versus traditional feeding after transanal endorectal pull-through procedure in Hirschsprung's disease.

    abstract::Our study questioned whether the outcome of postoperative early oral feeding is different from traditional postoperative feeding in children with Hirschsprung's disease who underwent transanal endorectal pull-through.This was an observational and comparative study. Patients were allocated into 2 groups. Age, gender, f...


    pub_type: 杂志文章


    authors: Ashjaei B,Ghamari Khameneh A,Darban Hosseini Amirkhiz G,Nazeri N

    更新日期:2019-03-01 00:00:00

  • Hyperthyroidism-associated hypercalcemic crisis: A case report and review of the literature.

    abstract:RATIONALE:Hyperthyroidism is one of the major clinical causes of hypercalcaemia, however, hyperthyroidism-related hypercalcemic crisis is rare, only 1 case have been reported. The potential mechanisms are still not too clear. It may be related that thyroid hormone stimulate bone turnover, elevate serum calcium, increas...


    pub_type: 杂志文章,评审


    authors: Chen K,Xie Y,Zhao L,Mo Z

    更新日期:2017-01-01 00:00:00

  • Reconstruction of extensive plantar forefoot defects with free anterolateral thigh flap.

    abstract:PURPOSE:The aim of the soft tissue reconstruction of plantar forefoot should yield weight-bearing function and aesthetic contour, which poses a significant challenge for reconstructive surgeons to provide an appropriate flap according to the "like for like" reconstructive principle. Local flaps and pedicled flaps have ...


    pub_type: 杂志文章


    authors: Chen L,Zhang Z,Li R,Liu Z,Liu Y

    更新日期:2020-12-11 00:00:00

  • Effect of retrograde autologous priming based on miniaturized cardiopulmonary bypass in children undergoing open heart surgery: A STROBE compliant retrospective observational study.

    abstract::To evaluate the effectiveness of retrograde autologous priming (RAP) based on miniaturized cardiopulmonary bypass (CPB) circuit in children undergoing open heart surgery.We performed a retrospective analysis of all patients (≤15 kg) who underwent open heart surgery with CPB in our center from January 1, 2017, to July ...


    pub_type: 杂志文章


    authors: Meng B,Wu K,Wang Y,Zhang S,Zhou X,Ding Y

    更新日期:2020-01-01 00:00:00

  • Analysis of the Metabolic and Structural Brain Changes in Patients With Torture-Related Post-Traumatic Stress Disorder (TR-PTSD) Using ¹⁸F-FDG PET and MRI.

    abstract::Many people exposed to torture later suffer from torture-related post-traumatic stress disorder (TR-PTSD). The aim of this study was to analyze the morphologic and functional brain changes in patients with TR-PTSD using magnetic resonance imaging (MRI) and positron emission tomography (PET). This study evaluated 19 su...


    pub_type: 杂志文章


    authors: Zandieh S,Bernt R,Knoll P,Wenzel T,Hittmair K,Haller J,Hergan K,Mirzaei S

    更新日期:2016-04-01 00:00:00

  • Intratumoral Heterogeneity of Subcutaneous Nodules in a Never-Smoker Woman of Lung Squamous Cell Carcinoma Detected on 18F-Fluorodeoxyglucose Positron Emission Tomography and Computed Tomography: A Case Report.

    abstract::Subcutaneous tissue is a rare site of metastasis, accounting for only 1-2% of all lung neoplasms. Positron emission tomography (PET) using ¹⁸F-fluorodeoxyglucose (FDG) has been reported to increase the diagnostic accuracy of subcutaneous metastasis. A 58-year-old woman presented with complaints of dry coughing, in whi...


    pub_type: 杂志文章


    authors: Zhao Q,Wang ZT,Sun JL,Han D,An DZ,Zhang DK,Li BS

    更新日期:2015-05-01 00:00:00

  • Risk factors for osteoporosis in liver cirrhosis patients measured by transient elastography.

    abstract::Osteoporosis or osteopenia is a common complication in patients with cirrhosis, but little is known about the risk factors for the occurrence of osteoporosis.Patients with liver cirrhosis due to chronic virus infection and alcoholic abuse were enrolled. Bone mineral density (BMD) was determined using dual-energy x-ray...


    pub_type: 杂志文章


    authors: Zheng JP,Miao HX,Zheng SW,Liu WL,Chen CQ,Zhong HB,Li SF,Fang YP,Sun CH

    更新日期:2018-05-01 00:00:00

  • Sphincter-preserving surgery for low-middle rectal cancer: Can we predict feasibility with high-resolution magnetic resonance imaging?

    abstract::The study proposed to evaluate the feasibility of predicting sphincter-sparing surgery (SSS) preoperatively in low-middle rectal cancer by using magnetic resonance (MR).The study included both retrospective and prospective design. In the retrospective design, the distance from lower edge of tumor to upper margin of th...


    pub_type: 杂志文章


    authors: Zhu HB,Wang L,Li ZY,Li XT,Zhang XY,Sun YS

    更新日期:2017-07-01 00:00:00

  • Declining Inconsistent Condom Use but Increasing HIV and Syphilis Prevalence Among Older Male Clients of Female Sex Workers: Analysis From Sentinel Surveillance Sites (2010-2015), Guangxi, China.

    abstract::Clients of female sex workers (CFSWs) are a bridge population for the spread of HIV and syphilis to low or average risk heterosexuals. Most studies have examined the point prevalence of these infections in CFSWs. Limited evidence suggests that older age CFSWs are at a higher risk of acquiring sexually transmitted dise...


    pub_type: 杂志文章,多中心研究


    authors: Chen Y,Abraham Bussell S,Shen Z,Tang Z,Lan G,Zhu Q,Liu W,Tang S,Li R,Huang W,Huang Y,Liang F,Wang L,Shao Y,Ruan Y

    更新日期:2016-05-01 00:00:00

  • Cardiac septic pulmonary embolism: A retrospective analysis of 20 cases in a Chinese population.

    abstract::Based on the source of the embolus, septic pulmonary embolism (SPE) can be classified as cardiac, peripheral endogenous, or exogenous. Cardiac SPEs are the most common.We conducted a retrospective analysis of 20 patients with cardiac SPE hospitalized between 1991 and 2013 at a Chinese tertiary referral hospital.The st...


    pub_type: 杂志文章


    authors: Song XY,Li S,Cao J,Xu K,Huang H,Xu ZJ

    更新日期:2016-06-01 00:00:00

  • Extensive intravesical benign hyperplasia induced by an extravesical migrated intrauterine device: A case report.

    abstract:RATIONALE:Intravesical migrated intrauterine devices (IUDs) have been reported to cause bladder perforation, stone formation, or malignant transition. However, such extensive intravesical benign hyperplasia caused by an extravesical migrated IUD is firstly reported. PATIENT CONCERNS:A 38-year-old woman suffered from r...


    pub_type: 杂志文章


    authors: Zhang P,Wang T,Yang L

    更新日期:2019-05-01 00:00:00

  • Effect of extracorporeal shock-wave therapy for treating patients with chronic rotator cuff tendonitis.

    abstract:BACKGROUND:This study aimed to determine the efficacy and safety of extracorporeal shock-wave therapy (ESWT) for treating patients with chronic rotator cuff tendonitis (CRCT). METHODS:In this study, 84 patients with CRCT were randomly divided into intervention and control groups in a ratio of 1:1. Patients in the inte...


    pub_type: 杂志文章,随机对照试验


    authors: Li W,Zhang SX,Yang Q,Li BL,Meng QG,Guo ZG

    更新日期:2017-09-01 00:00:00

  • Efficacy and safety of tenofovir disoproxil fumarate in Chinese patients with chronic hepatitis B virus infection: A 2-year prospective study.

    abstract::To date, a small number of studies concerning the effects and safety of tenofovir disoproxil fumarate (TDF) in Chinese individuals were conducted. In this study, we aimed to assess the antiviral effects and nephrotoxicity of TDF in Chinese patients with chronic hepatitis B virus (HBV) infection.Patients with chronic H...


    pub_type: 杂志文章


    authors: Zheng S,Liu L,Lu J,Zhang X,Shen H,Zhang H,Xue Y,Lin L

    更新日期:2019-10-01 00:00:00

  • The diagnostic performance of serum LIM homeobox transcription factor 1 alpha in patients with gastric cancer.

    abstract::The study was conducted to investigate the diagnostic performance of serum LIM homeobox transcription factor 1 alpha (LMX1A) in patients with gastric cancer (GC).The serum level of LMX1A in GC, benign, and healthy groups was measured using quantitative real time PCR (qRT-PCR) and compared with the student t test. The ...


    pub_type: 杂志文章


    authors: Li D,Li C

    更新日期:2019-05-01 00:00:00

  • A High Circulating Tumor Cell Count in Portal Vein Predicts Liver Metastasis From Periampullary or Pancreatic Cancer: A High Portal Venous CTC Count Predicts Liver Metastases.

    abstract::Circulating tumor cells (CTCs) released from a periampullary or pancreatic cancer can be more frequently detected in the portal than the systemic circulation and potentially can be used to identify patients with liver micrometastases. Aims of this study is to determine if CTCs count in portal venous blood of patients ...


    pub_type: 杂志文章


    authors: Tien YW,Kuo HC,Ho BI,Chang MC,Chang YT,Cheng MF,Chen HL,Liang TY,Wang CF,Huang CY,Shew JY,Chang YC,Lee EY,Lee WH

    更新日期:2016-04-01 00:00:00

  • Impact of statin use on cancer-specific mortality and recurrence: A meta-analysis of 60 observational studies.

    abstract::This meta-analysis mainly summarized the studies reporting an association between statin use and cancer-specific mortality and recurrence or progression of cancer patients.We systematically searched for studies about the statin used in cancer patients in electronic databases, including PubMed, Web of Science, Cochrane...


    pub_type: 杂志文章,meta分析


    authors: Yang J,Li C,Shen Y,Zhou H,Shao Y,Zhu W,Chen Y

    更新日期:2020-04-01 00:00:00

  • Renal cell carcinoma originating in the free wall of simple renal cyst: Two unusual case reports with literature review.

    abstract:RATIONALE:Simple renal cyst (SRC) is a benign disease. However, rarely renal cell carcinoma (RCC) may be raised at the wall of a preexisting SRC. We herein describe 2 unusual cases of RCC arising from the outer surface of the free wall of the renal cyst. PATIENT CONCERNS:A 75-year-old female and a male were admitted t...


    pub_type: 杂志文章,评审


    authors: Lai S,Jiao B,Wang X,Xu X,Zhang M,Diao T,Zhang G

    更新日期:2019-04-01 00:00:00

  • Guizhi Fuling wan for chronic pelvic inflammatory disease protocol: A protocol for systematic review and meta analysis.

    abstract:BACKGROUND:Chronic pelvic inflammatory disease (CPID) is one of common diseases of department of gynaecology, point to female inside genital and circumferential organization to suffer from infection of all sorts of pathogenic bacteria and cause chronic inflammation sex disease, also cause one of main factors of inferti...


    pub_type: 杂志文章,meta分析


    authors: Wang C,Chen J,Xiao Y,Shen Q

    更新日期:2020-12-18 00:00:00

  • Diagnostic accuracy of cervical elastography in predicting preterm delivery: A systematic review and meta-analysis.

    abstract:BACKGROUND:The aim of the study was to evaluate the diagnostic accuracy of cervical elastography in predicting preterm delivery (PTD). METHODS:We searched the PubMed, EMBASE, and Cochrane databases to identify relevant studies that applied ultrasound (US) elastography to assess cervical stiffness and predict PTD. All ...


    pub_type: 杂志文章,meta分析


    authors: Wang B,Zhang Y,Chen S,Xiang X,Wen J,Yi M,He B,Hu B

    更新日期:2019-07-01 00:00:00

  • Assessment of the periodontal health status in patients undergoing orthodontic treatment with fixed appliances and Invisalign system: A meta-analysis.

    abstract:BACKGROUND:At present, many scholars have studied the periodontal health status of patients undergoing orthodontic treatment with fixed appliances and invisalign. However, those results are inconsistent. Therefore, we conducted this meta-analysis, and then provide reference for clinical treatment. METHODS:Most databas...


    pub_type: 杂志文章,meta分析


    authors: Lu H,Tang H,Zhou T,Kang N

    更新日期:2018-03-01 00:00:00

  • The influence of blood pressure patterns on renal outcomes in patients with chronic kidney disease: The long-term follow up result of the APrODiTe-2 study.

    abstract::Blood pressure (BP) control is the most established practice for preventing the progression and complications of chronic kidney disease (CKD). We examined the influence of BP patterns on target organ damage in hypertensive patients with CKD by using long-term follow-up data of the APrODiTe-2 study.We collected 5 years...


    pub_type: 杂志文章,多中心研究


    authors: Cha RH,Lee H,Lee JP,Kim YS,Kim SG

    更新日期:2020-02-01 00:00:00

  • Prognostic Value of the Sum of Metabolic Tumor Volume of Primary Tumor and Lymph Nodes Using 18F-FDG PET/CT in Patients With Cervical Cancer.

    abstract::This is an observational study to determine the most relevant parameter of ¹⁸F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) for predicting recurrence in cervical cancer. Fifty-six patients with International Federation of Gynecology and Obstetrics (FIGO) stage IIB-IVA cervical can...


    pub_type: 杂志文章


    authors: Hong JH,Min KJ,Lee JK,So KA,Jung US,Kim S,Eo JS

    更新日期:2016-03-01 00:00:00

  • Contrast-enhanced ultrasound for determining muscular perfusion after oral intake of L-citrulline, L-arginine, and galloylated epicatechines: A study protocol.

    abstract:INTRODUCTION:The market for dietary supplements in the sports sector has been growing rapidly for several years, though there is still lacking evidence regarding their claimed benefits. One group is that of nitric oxide increasing supplements, so-called "NO-boosters," which are claimed to improve the supply of oxygen a...


    pub_type: 杂志文章


    authors: Doll J,Bürkle F,Neide A,Tsitlakidis S,Bruckner T,Schmidmaier G,Fischer C

    更新日期:2020-10-09 00:00:00

  • Stiff-person syndrome coexisting with critical illness polyneuropathy: A case report.

    abstract:RATIONALE:Stiff-person syndrome (SPS) is an uncommon neurological disorder with autoimmune features. Here, we report a 60-year-old man with SPS associated with critical illness polyneuropathy (CIP). CIP was diagnosed during an episode of acute respiratory failure secondary to muscular rigidity and spasms, which has rar...


    pub_type: 杂志文章


    authors: Cai Q,Wu C,Xu W,Liang Y,Liao S

    更新日期:2020-12-11 00:00:00

  • Angiosarcoma originating in the anterior mediastinum: A case report.

    abstract:RATIONALE:Angiosarcomas are malignant vascular tumors, and angiosarcoma occurring in the anterior mediastinum is rare. Here we report a case of angiosarcoma that originated in the anterior mediastinum treated with surgery, followed by radiotherapy and synchronous chemotherapy. PATIENT CONCERNS:A 56-year-old female was...


    pub_type: 杂志文章


    authors: Tan YB,Yu XF,Fan JQ,Li JF

    更新日期:2018-12-01 00:00:00

  • Familial Mediterranean fever and cryptogenic cirrhosis.

    abstract::Familial Mediterranean fever (FMF) is a febrile disease characterized by acute, spontaneously resolving episodes of fever and pain caused by serosal inflammation and associated with mutations in the FMF gene, MEFV. Prophylaxis is maintained with colchicine. To our knowledge, no study has yet shown an association betwe...


    pub_type: 杂志文章


    authors: Tweezer-Zaks N,Doron-Libner A,Weiss P,Ben-Horin S,Barshack I,Lidar M,Livneh A

    更新日期:2007-11-01 00:00:00

  • Skin metastases in epithelial ovarian and fallopian tube carcinoma.

    abstract::This study aimed to investigate the clinical features and outcomes of skin metastasis in ovarian and fallopian tube carcinomas.We studied patients with epithelial ovarian or fallopian tube carcinoma who developed skin metastasis from 2001 through 2012, and were also treated with chemotherapy and/or surgery.Skin metast...


    pub_type: 杂志文章


    authors: Otsuka I,Matsuura T

    更新日期:2017-08-01 00:00:00

  • Differential proteomic analysis of serum exosomes reveals alterations in progression of Parkinson disease.

    abstract::Exosomes are nanometer-sized vesicles with intercellular communication functions, and their encapsulated proteins may participate in the pathological process of neurodegenerative disorders. The aim of this study was to identify the protein changes of serum exosomes in Parkinson disease (PD) patients with different dis...


    pub_type: 杂志文章


    authors: Jiang R,Rong C,Ke R,Meng S,Yan X,Ke H,Wu S

    更新日期:2019-10-01 00:00:00