A Rare Case of Isolated Salmonella Species Group B Sacroiliitis in a Healthy Collegiate-Level Swimmer: A Case Report

JBJS Case Connect. 2017 Jul-Sep;7(3):e55. doi: 10.2106/JBJS.CC.17.00024.

Abstract

Case: We present a case of isolated Salmonella species group B sacroiliitis in a healthy 19-year-old collegiate-level swimmer with no known risk factors. To our knowledge, there are no similar cases described in the current literature.

Conclusion: Pyogenic sacroiliitis (PS) is a rare form of septic arthritis, especially in adults. PS is most commonly seen in the setting of intravenous drug use or in an immunocompromised patient. If a patient does not fit either of these demographics, PS initially can be a difficult diagnosis because of its rarity and vague symptomatology.

Publication types

  • Case Reports

MeSH terms

  • Administration, Intravenous
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Arthritis, Infectious / diagnostic imaging
  • Arthritis, Infectious / microbiology*
  • Arthritis, Infectious / pathology
  • Female
  • Humans
  • Image-Guided Biopsy / methods
  • Magnetic Resonance Imaging
  • Sacroiliac Joint / diagnostic imaging*
  • Sacroiliac Joint / microbiology*
  • Sacroiliac Joint / pathology
  • Sacroiliitis / diagnostic imaging
  • Sacroiliitis / microbiology*
  • Salmonella / isolation & purification*
  • Salmonella Infections / diagnosis
  • Salmonella Infections / drug therapy
  • Synovial Fluid / microbiology
  • Treatment Outcome
  • Young Adult

Substances

  • Anti-Bacterial Agents