Septic sacroiliitis in the post-partum period with haematogenous spread

Ryan Walsh; Aoife Thornton; Loay H Abdelnour

doi:10.1016/j.idcr.2021.e01118

Septic sacroiliitis in the post-partum period with haematogenous spread

IDCases. 2021 Apr 9:24:e01118. doi: 10.1016/j.idcr.2021.e01118. eCollection 2021.

Authors

Ryan Walsh¹, Aoife Thornton¹, Loay H Abdelnour¹

Affiliation

¹ General Internal Medicine, Ulster Hospital, Belfast, Northern Ireland, United Kingdom.

Abstract

Pelvic pain is a very common gynaecological complaint especially during the puerperium. It is rarely associated with development of septic sacroiliitis or haematogenous spread to other sites within the body. The case below demonstrates a 30 year old female 10 days post-partum presenting with left hand cellulitis secondary to development of septic sacroiliitis. Her case supplements a small cohort of reports among literature identifying septic arthritis in the postpartum period, recognises the delay to diagnosis and increased morbidity of this condition.

Keywords: Episiotomy; Postpartum; Pregnancy; Sacroilliitis; Septic arthritis.

Publication types

Case Reports