Abstract：
BACKGROUND: Few infectious sacroiliitis reports are available in the literature. There is no standard clinical presentation, and diagnosis and treatments are therefore usually delayed. We aimed to describe this infection.
METHODS: We performed a single-center retrospective study of patients hospitalized in the infectious diseases unit of the Limoges University Hospital from January 1, 2006 to January 31, 2016. We included all patients presenting with infectious monoarthritis of native sacroiliac joint. Clinical, biological, bacteriological, radiological, and therapeutic characteristics were collected.
RESULTS: A total of 18 patients were enrolled. The sex ratio was 1.25. Mean age was 39.6years (17-69years). The average progression time at diagnosis was 17.9days (1-110days). The mean hospital stay was 16.2days (3-35days). Temperature at admission was 38.8°C (37-40°C). Identified bacteria were methicillin-susceptible Staphylococcus aureus in 83.3% of cases (n=15), Proteus mirabilis (n=1), and Streptococcus dysgalactiae (n=1). Thirty-two (88.9%) of the 36 imaging examinations were consistent with the diagnosis. The survival rate was 100% at the end of the six-month follow-up.
CONCLUSIONS: Infectious sacroiliitis is a complex pathology requiring precise clinical examination for a rapid diagnosis. The outcome is usually favorable.
METHODS: We performed a single-center retrospective study of patients hospitalized in the infectious diseases unit of the Limoges University Hospital from January 1, 2006 to January 31, 2016. We included all patients presenting with infectious monoarthritis of native sacroiliac joint. Clinical, biological, bacteriological, radiological, and therapeutic characteristics were collected.
RESULTS: A total of 18 patients were enrolled. The sex ratio was 1.25. Mean age was 39.6years (17-69years). The average progression time at diagnosis was 17.9days (1-110days). The mean hospital stay was 16.2days (3-35days). Temperature at admission was 38.8°C (37-40°C). Identified bacteria were methicillin-susceptible Staphylococcus aureus in 83.3% of cases (n=15), Proteus mirabilis (n=1), and Streptococcus dysgalactiae (n=1). Thirty-two (88.9%) of the 36 imaging examinations were consistent with the diagnosis. The survival rate was 100% at the end of the six-month follow-up.
CONCLUSIONS: Infectious sacroiliitis is a complex pathology requiring precise clinical examination for a rapid diagnosis. The outcome is usually favorable.
摘要：
背景：文献中很少有传染性骶髂关节炎的报道。没有标准的临床表现,因此，诊断和治疗通常会延迟。我们的目的是描述这种感染。
方法：我们对2006年1月1日至2016年1月31日在利摩日大学医院传染病科住院的患者进行了单中心回顾性研究。我们纳入了所有表现为天然骶髂关节感染性单关节炎的患者。临床,生物，细菌学，放射学,并收集治疗特征。
结果：共纳入18例患者。性别比例为1.25。平均年龄为39.6岁（17-69岁）。诊断时的平均进展时间为17.9天（1-110天）。平均住院时间为16.2天（3-35天）。进入时的温度为38.8°C(37-40°C)。鉴定的细菌是甲氧西林敏感的金黄色葡萄球菌，占83.3%(n=15)，奇异变形杆菌（n=1），和乳酸链球菌（n=1）。36例影像学检查中有32例（88.9％）与诊断一致。6个月随访结束时生存率为100%。
结论：传染性骶髂关节炎是一种复杂的病理，需要精确的临床检查以快速诊断。结果通常是有利的。
方法：我们对2006年1月1日至2016年1月31日在利摩日大学医院传染病科住院的患者进行了单中心回顾性研究。我们纳入了所有表现为天然骶髂关节感染性单关节炎的患者。临床,生物，细菌学，放射学,并收集治疗特征。
结果：共纳入18例患者。性别比例为1.25。平均年龄为39.6岁（17-69岁）。诊断时的平均进展时间为17.9天（1-110天）。平均住院时间为16.2天（3-35天）。进入时的温度为38.8°C(37-40°C)。鉴定的细菌是甲氧西林敏感的金黄色葡萄球菌，占83.3%(n=15)，奇异变形杆菌（n=1），和乳酸链球菌（n=1）。36例影像学检查中有32例（88.9％）与诊断一致。6个月随访结束时生存率为100%。
结论：传染性骶髂关节炎是一种复杂的病理，需要精确的临床检查以快速诊断。结果通常是有利的。
