Infectious Postpartum Sacroiliitis: The Importance and Difficulty of Early Diagnosis
The sacroiliitis accounts for about 1.5% - 10% of all cases of septic arthritis and it is strongly associated with gynaecological infections, pelvic trauma or drug abuse (3.4% - 12.8% of cases occur during the postpartum period). Early diagnosis is difficult because the symptoms are nonspecific in...
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| Format: | Article |
| Language: | English |
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Ordem dos Médicos
2016-08-01
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| Series: | Acta Médica Portuguesa |
| Subjects: | |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7062 |
| _version_ | 1811344900493410304 |
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| author | Emídio Vale-Fernandes Fedra Rodrigues Carla Monteiro Luís Carvalho |
| author_facet | Emídio Vale-Fernandes Fedra Rodrigues Carla Monteiro Luís Carvalho |
| author_sort | Emídio Vale-Fernandes |
| collection | DOAJ |
| description |
The sacroiliitis accounts for about 1.5% - 10% of all cases of septic arthritis and it is strongly associated with gynaecological infections, pelvic trauma or drug abuse (3.4% - 12.8% of cases occur during the postpartum period). Early diagnosis is difficult because the symptoms are nonspecific in pregnancy and in the postpartum period, making the delay of treatment a serious risk of irreversible damage to the joint and development of post-infectious complications. The authors describe the case of a 37-year-old puerperal woman presented to hospital, weeks after urgent caesarean section, with endometritis, post-anesthetic epidural hematoma and secondary infectious postpartum sacroiliitis. The diagnosis of sacroiliac joints pathology during pregnancy and puerperium is challenging. The pathogenesis of infectious sacroiliitis results from local contamination by contiguous infection or hematogenous spread of bacterial infections. The prognosis is usually favorable and depends on early diagnosis and treatment.
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| first_indexed | 2024-04-13T19:54:07Z |
| format | Article |
| id | doaj.art-e0903138035244eca16d5bd257cf9158 |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-13T19:54:07Z |
| publishDate | 2016-08-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-e0903138035244eca16d5bd257cf91582022-12-22T02:32:24ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582016-08-01297-810.20344/amp.7062Infectious Postpartum Sacroiliitis: The Importance and Difficulty of Early DiagnosisEmídio Vale-Fernandes0Fedra Rodrigues1Carla Monteiro2Luís Carvalho3Serviço de Ginecologia e Obstetrícia. Hospital de Braga. Braga. Portugal.Serviço de Ginecologia e Obstetrícia. Hospital de Braga. Braga. Portugal.Serviço de Ginecologia e Obstetrícia. Hospital de Braga. Braga. Portugal.Serviço de Ginecologia e Obstetrícia. Hospital de Braga. Braga. Portugal. The sacroiliitis accounts for about 1.5% - 10% of all cases of septic arthritis and it is strongly associated with gynaecological infections, pelvic trauma or drug abuse (3.4% - 12.8% of cases occur during the postpartum period). Early diagnosis is difficult because the symptoms are nonspecific in pregnancy and in the postpartum period, making the delay of treatment a serious risk of irreversible damage to the joint and development of post-infectious complications. The authors describe the case of a 37-year-old puerperal woman presented to hospital, weeks after urgent caesarean section, with endometritis, post-anesthetic epidural hematoma and secondary infectious postpartum sacroiliitis. The diagnosis of sacroiliac joints pathology during pregnancy and puerperium is challenging. The pathogenesis of infectious sacroiliitis results from local contamination by contiguous infection or hematogenous spread of bacterial infections. The prognosis is usually favorable and depends on early diagnosis and treatment. https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7062ArthritisInfectious/diagnosisHematomaEpiduralSpinalPostpartum Period |
| spellingShingle | Emídio Vale-Fernandes Fedra Rodrigues Carla Monteiro Luís Carvalho Infectious Postpartum Sacroiliitis: The Importance and Difficulty of Early Diagnosis Acta Médica Portuguesa Arthritis Infectious/diagnosis Hematoma Epidural Spinal Postpartum Period |
| title | Infectious Postpartum Sacroiliitis: The Importance and Difficulty of Early Diagnosis |
| title_full | Infectious Postpartum Sacroiliitis: The Importance and Difficulty of Early Diagnosis |
| title_fullStr | Infectious Postpartum Sacroiliitis: The Importance and Difficulty of Early Diagnosis |
| title_full_unstemmed | Infectious Postpartum Sacroiliitis: The Importance and Difficulty of Early Diagnosis |
| title_short | Infectious Postpartum Sacroiliitis: The Importance and Difficulty of Early Diagnosis |
| title_sort | infectious postpartum sacroiliitis the importance and difficulty of early diagnosis |
| topic | Arthritis Infectious/diagnosis Hematoma Epidural Spinal Postpartum Period |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7062 |
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