Open AccessPostpartum Bilateral Sacroiliitis caused by Brucella Infection
Author(s) -
Mustafa Öztürk,
Ferdi Yavuz,
Demet Altun,
Mustafa Ulubay,
Fahri Burçin Fıratlıgil
Publication year - 2015
Publication title -
journal of clinical and diagnostic research
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2015/14628.6765
Subject(s) - medicine , sacroiliitis , sacroiliac joint , brucellosis , surgery , postpartum period , sitting , pelvic pain , brucella melitensis , low back pain , pregnancy , brucella , ankylosing spondylitis , pathology , alternative medicine , virology , biology , genetics
Early diagnosis of this septic sacroiliitis is difficult because symptoms are nonspecific during the postpartum period. In this case we dicscuss about a patient with bilateral buttock pain unresolved with painkillers and rest, after an induction delivery. A 31-year-old woman was presented to our clinic on the second week of postpartum period with bilateral buttock pain. She was subfebrile and had no apparent abnormality on her pelvic X-ray. The pain was so severe that she was unable to walk properly. Sacroiliac MRI during the acute episode of pain showed bone marrow oedema and fluid within the bilateral sacroiliac joint. She was found seropositive for brucellosis and the patient completely recovered with antibiotherapy treatment. We stopped our patient from breastfeeding when the Rose Bengal test turned out positive. Brucella sacroiliitis should be considered in puerperium period women when buttock pain and difficulty in walking are present and pain is unresponsive to analgesics.