Bilateral sacroiliitis following group C streptococcal sepsis

Sanjeev Shrestha; Eva Rottmann; Prakash Kharel; Francis Lim; David Henry Bulbin

doi:10.1080/08998280.2022.2043678

Bilateral sacroiliitis following group C streptococcal sepsis

Proc (Bayl Univ Med Cent). 2022 Mar 9;35(3):344-345. doi: 10.1080/08998280.2022.2043678. eCollection 2022.

Authors

Sanjeev Shrestha¹, Eva Rottmann², Prakash Kharel³, Francis Lim³, David Henry Bulbin²

Affiliations

¹ Department of Internal Medicine, Geisinger Medical Center, Danville, Pennsylvania.
² Department of Rheumatology, Geisinger Medical Center, Danville, Pennsylvania.
³ Department of Hospital Medicine, Geisinger Medical Center, Danville, Pennsylvania.

Abstract

Reactive arthritis particularly affects individuals 20 to 40 years old. The most common preceding infections are enteric and urogenital. The association of group C and group G streptococcal infections with reactive arthritis is rare. We present a case of old-onset bilateral sacroiliitis following group C streptococcal infection in an 81-year-old woman, treated successfully with a steroid taper and infliximab.

Keywords: Group C Streptococcus; reactive arthritis; rheumatology.

Publication types

Case Reports