sacroiliac osteomyelitis

Epidemiology: adolescents & young adults Clinical manifestations: 1) fever 2) poorly localized buttocks pain 3) inability to bear weight in an adolescent 4) involvement of the closely passing lumbar plexus a) urinary difficulties b) abdominal distension 5) pain caused by pelvic pressure 6) tenderness over the sacroiliac joint Laboratory: - blood culture for Staphylococcus aureus Radiology: 1) Tc 99 m bone scan may be normal 2) single photon emission computed tomography (SPECT)

General

osteomyelitis spine disease; vertebral disorder

References

Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998