Septic shock in pregnancy due to pyogenic sacroiliitis: a case report

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• 作者：María Lapresta Moros (1)
  Cesar Rodrigo (1)
  Adela Villacampa (1)
  Julián Ruiz (2)
  Carlos Lapresta (3)
  
• 刊名：Journal of Medical Case Reports
• 出版年：2009
• 出版时间：December 2009
• 年：2009
• 卷：3
• 期：1
• 全文大小：1037KB
• 参考文献：1. German RS, Mabie WC, Eifrid M, Whitnack E, Sibai BM: Sacroiliitis associated with pyelonephritis in pregnancy. / Obstet Gynecol 1995, 85:834-35. CrossRef
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• 作者单位：María Lapresta Moros (1)
  Cesar Rodrigo (1)
  Adela Villacampa (1)
  Julián Ruiz (2)
  Carlos Lapresta (3)
  
  1. Department of Obstetrics and Gynecology, Miguel Servet University Hospital, Zaragoza, Spain
  2. Department of Anaesthesia, Miguel Servet University Hospital, Zaragoza, Spain
  3. Department of Preventive Medicine, Miguel Servet University Hospital, Zaragoza, Spain
  

文摘

Introduction Lower back pain due to sacroiliac joint dysfunction is a common symptom during pregnancy. However, infection of the sacroiliac joint is rare, even more so if no predisposing factors are present. Case presentation After the onset of unspecific acute pain in the left buttock region, a 31-year-old pregnant woman developed septic shock due to pyogenic sacroiliitis. The medical and obstetric management, treatment applied and patient's experience are described. Conclusion The correct diagnosis and treatment of pyogenic sacroiliitis during pregnancy may avoid joint and bone destruction in addition to maternal and fetal complications.