Información adicional

• Num_publicacion 72(4)
• Resumen_ingles

  Introduction: Infectious sacroiliitis is a form of arthritis that must be differentiated from the inflammatory condition. Represent a small fraction of joint infections in children and require a high index of suspicion for early diagnosis.
  Patients and methods: Review of childhood clinical cases diagnosed in our hospital during the last 20 years. Several variables were gathered from medical records, including clinical and microbiological: presentation, duration, physical examination, complementary tests, microorganisms involved, pharmacotherapy and surgical procedures. We completed a systematic search of articles in major bibliographic databases, prioritizing reviews and studies on pediatric population and extracting the most relevant outcomes.
  Results: Eleven patients met the inclusion criteria. The groups affected were children aged between 1-2 and 11-16 years. Over 80% of patients presented with a history of fever, gait abnormalities and low back pain, both spontaneous or provoked. One third of the cases had skin disease or soft tissue infection. Staphylococcus and Brucella were the main causal agents in our sample. The pelvic magnetic resonance imaging supported the diagnosis in all cases.
  Conclusions: The combination of history, examination and image testing guided the diagnosis. This disease should be suspected in young children when rejection of sitting or standing is observed. Antibiotic treatment improves prognosis and empirical therapy should cover S. aureus.

• Palabras_clave_ingles Sacroiliitis Psoas abscess Sacroiliac joint Infectious arthritis Magnetic resonance imaging
• Todos_autores J.V. Arcos Machancoses, S. Sánchez Zahonero, Y. García Camuñas, D. Pérez Tamarit, M.C. Otero Reigada
• autores listados J.V. Arcos Machancoses, S. Sánchez Zahonero, Y. García Camuñas, D. Pérez Tamarit, M.C. Otero Reigada
• Correspondecia
  J.V. Arcos Machancoses. Sección de Infectología Pediátrica. Hospital Universitari i Politècnic «La Fe». Bulevard Sud, s/n. 46026 Valencia.
  Correo electrónico: jvicentearcos@gmail.com
• Titulo_ingles Retrospective study on the infectious sacroiliitis in children: clinical presentation, management and outcome
• Centros_trabajo Sección de Infectología Pediátrica. Hospital Universitari i Politècnic «La Fe». Valencia
• Publicado en Acta Pediatr Esp. 2014; 72(4): 81-87
• copyright ©2014 Ediciones Mayo, S.A.
• Fecha recepcion 24/05/12
• Fecha aceptacion 4/10/12