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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

Conclusion

Acute unilateral sacroiliitis should always raise suspicious for the possibility of septic arthritis particularly solitary involvement of the ligamentous portion as well as in the presence of adjacent soft tissue oedema or juxta-articular collections. 

Radiological suspicion should dictate further management with image-guided aspiration or serological testing (in cases of tuberculosis or brucellosis).

 

Any corticosteroid intra-articular injection should be avoided until this suspicion is clearly refuted.

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