Postpartum pyogenic sacroiliitis with methicillin-resistant Staphylococcus aureus in a healthy adult: A case report and review of the literature
Objective: Back and buttock pain during pregnancy and the postpartum period generally improves spontaneously and rarely causes problems. However, such pain is infrequently induced by pyogenic sacroiliitis. Case report: We herein present a 37-year-old female patient with no previous medical history w...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2015-06-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455915000844 |
| _version_ | 1819168613085478912 |
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| author | Takashi Imagama Atsunori Tokushige Akihito Sakka Kazushige Seki Toshihiko Taguchi |
| author_facet | Takashi Imagama Atsunori Tokushige Akihito Sakka Kazushige Seki Toshihiko Taguchi |
| author_sort | Takashi Imagama |
| collection | DOAJ |
| description | Objective: Back and buttock pain during pregnancy and the postpartum period generally improves spontaneously and rarely causes problems. However, such pain is infrequently induced by pyogenic sacroiliitis.
Case report: We herein present a 37-year-old female patient with no previous medical history who developed pyogenic sacroiliitis with severe right buttock pain 7 days after cesarean delivery. Arthrocentesis was performed, and a culture revealed the presence of methicillin-resistant Staphylococcus aureus (MRSA). After 6 weeks of treatment with intravenous antibiotics, her infection became quiescent. Eight cases of pyogenic sacroiliitis during the postpartum period and seven cases during pregnancy have been reported, but most of the causative pathogens were methicillin-sensitive Staphylococcus or Streptococcus species.
Conclusion: This report describes the first case of postpartum pyogenic sacroiliitis caused by MRSA. The frequency of infection with MRSA has recently increased, and community-acquired MRSA, which affects even healthy young people, has also become a problem. Antibiotics for empirical therapy after a diagnosis of pyogenic sacroiliitis, including anti-MRSA antibiotics, should be carefully selected. |
| first_indexed | 2024-12-22T19:06:23Z |
| format | Article |
| id | doaj.art-396f6abeaa0845c394d9deb9fff19921 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-22T19:06:23Z |
| publishDate | 2015-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-396f6abeaa0845c394d9deb9fff199212022-12-21T18:15:49ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592015-06-0154330330510.1016/j.tjog.2013.10.044Postpartum pyogenic sacroiliitis with methicillin-resistant Staphylococcus aureus in a healthy adult: A case report and review of the literatureTakashi ImagamaAtsunori TokushigeAkihito SakkaKazushige SekiToshihiko TaguchiObjective: Back and buttock pain during pregnancy and the postpartum period generally improves spontaneously and rarely causes problems. However, such pain is infrequently induced by pyogenic sacroiliitis. Case report: We herein present a 37-year-old female patient with no previous medical history who developed pyogenic sacroiliitis with severe right buttock pain 7 days after cesarean delivery. Arthrocentesis was performed, and a culture revealed the presence of methicillin-resistant Staphylococcus aureus (MRSA). After 6 weeks of treatment with intravenous antibiotics, her infection became quiescent. Eight cases of pyogenic sacroiliitis during the postpartum period and seven cases during pregnancy have been reported, but most of the causative pathogens were methicillin-sensitive Staphylococcus or Streptococcus species. Conclusion: This report describes the first case of postpartum pyogenic sacroiliitis caused by MRSA. The frequency of infection with MRSA has recently increased, and community-acquired MRSA, which affects even healthy young people, has also become a problem. Antibiotics for empirical therapy after a diagnosis of pyogenic sacroiliitis, including anti-MRSA antibiotics, should be carefully selected.http://www.sciencedirect.com/science/article/pii/S1028455915000844conservative treatmenthealthy adultmethicillin-resistant Staphylococcus aureuspostpartumpyogenic sacroillitis |
| spellingShingle | Takashi Imagama Atsunori Tokushige Akihito Sakka Kazushige Seki Toshihiko Taguchi Postpartum pyogenic sacroiliitis with methicillin-resistant Staphylococcus aureus in a healthy adult: A case report and review of the literature Taiwanese Journal of Obstetrics & Gynecology conservative treatment healthy adult methicillin-resistant Staphylococcus aureus postpartum pyogenic sacroillitis |
| title | Postpartum pyogenic sacroiliitis with methicillin-resistant Staphylococcus aureus in a healthy adult: A case report and review of the literature |
| title_full | Postpartum pyogenic sacroiliitis with methicillin-resistant Staphylococcus aureus in a healthy adult: A case report and review of the literature |
| title_fullStr | Postpartum pyogenic sacroiliitis with methicillin-resistant Staphylococcus aureus in a healthy adult: A case report and review of the literature |
| title_full_unstemmed | Postpartum pyogenic sacroiliitis with methicillin-resistant Staphylococcus aureus in a healthy adult: A case report and review of the literature |
| title_short | Postpartum pyogenic sacroiliitis with methicillin-resistant Staphylococcus aureus in a healthy adult: A case report and review of the literature |
| title_sort | postpartum pyogenic sacroiliitis with methicillin resistant staphylococcus aureus in a healthy adult a case report and review of the literature |
| topic | conservative treatment healthy adult methicillin-resistant Staphylococcus aureus postpartum pyogenic sacroillitis |
| url | http://www.sciencedirect.com/science/article/pii/S1028455915000844 |
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