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Case Reports in Medicine
Volume 2012, Article ID 415323, 4 pages
http://dx.doi.org/10.1155/2012/415323
Case Report

Pyogenic Sacroiliitis in Children: Two Case Reports

1Pediatric Department, Fattouma Bourguiba Hospital, 5000 Monastir, Tunisia
2Service de Pédiatrie, CHU, 5000 Monastir, Tunisia
3Orthopedic Department, Fattouma Bourguiba Hospital, Monastir, Tunisia

Received 23 December 2011; Revised 12 April 2012; Accepted 8 June 2012

Academic Editor: Christos D. Lionis

Copyright © 2012 L. Ghedira Besbes et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pyogenic sacroiliitis is rare and accounts for approximately 1-2% of osteoarticular infections in children. Considerable delay between presentation and diagnosis is recognized. Two cases of pyogenic sacroiliitis are described. The first case is a 28-month-old girl presented with acute onset of fever, pain in the left hip, and limpness. Computed tomography (CT), bone scans, and magnetic resonance imaging (MRI) of the pelvis showed characteristic findings of infectious sacroiliitis, and blood cultures were negatives. The second case is a 13-year-old girl presented with acute onset of fever, pain in the right hip, and buttock, with inability to walk. The diagnosis of pyogenic sacroiliitis was confirmed by bone scans, and CT of the pelvis and blood cultures have identified Proteus mirabilis. The two children recovered fully after 6 weeks of antimicrobial therapy. Pyogenic sacroiliitis is an uncommon disease in children. The key to successful management is early diagnosis in which CT, bone scans, and MRI findings play a crucial role. If the diagnosis is established promptly, most patients can be managed successfully with antimicrobial therapy.