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ECR 2019 / C-3035
Unilateral Acute Sacroiliitis - Think Infection, No Injection !
Congress: ECR 2019
Poster No.: C-3035
Type: Educational Exhibit
Keywords: Inflammation, Infection, Arthritides, Laboratory tests, Drainage, Diagnostic procedure, Ultrasound, MR, CT, Musculoskeletal system, Interventional non-vascular, Anatomy
Authors: A. R. Shah1, H. Nagraj2, S. Abdullah1; 1Abu Dhabi/AE, 2Romford/UK
DOI:10.26044/ecr2019/C-3035

Learning objectives

 

To help recognise the MR imaging features of acute septic unilateral sacroiliitis affecting either the synovial or ligamentous portions of the sacroiliac joint ; (Marrow oedema, joint effusion, juxta-articular soft tissue oedema+/- collections) .

 

 

To demonstrate ultrasound and CT guided aspiration techniques which are essential in the diagnostic work-up and management .

 

To increase awareness of uncommon causative organisms (Gram +ve cocci, Mycobacterium tuberculosis and Brucella) and the utility of serological testing in addition to appropriate clinical history .

 

To avoid the pitfall of injudicious use of intra-articular steroid injections for symptomatic relief with potential of causing patient harm and  serious complications .

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