Radiological followup of the evolution of inflammatory process in sacroiliac joint with magnetic resonance imaging: a case with pyogenic sacroiliitis.

Abstract

Pyogenic sacroiliitis (PS) is an acute form of sacroiliitis that mostly starts with very painful buttock pain. Here in this case, the followup magnetic resonance (MR) images of a 49-year-old male patient with PS is displayed. After his sacroiliitis was documented by MR images, he was treated with the combination of rifampicin plus streptomycin and moxifloxacin. Serial MR investigations were done to disclose acute and subsequent imaging changes concerning sacroiliac joint and surrounding bone structures. Although after treatment all the symptoms were completely resolved, 20 months later changes suggesting active sacroiliitis on MR images were continuing.

• Authors: Muhammet Cinar, Hatice Tugba Sanal, Sedat Yilmaz, Ismail Simsek, Hakan Erdem, Salih Pay, Ayhan Dinc
• Journal: Case reports in rheumatology (Case Rep Rheumatol) Vol. 2012 Pg. 509136 ( 2012) ISSN: 2090-6897 [Electronic] United States
• PMID: 23050188 (Publication Type: Journal Article)