Acute brucella sacroiliitis

Case contributed by Dr Mahmoud Yacout Alabd

Presentation

Right hip pain and limitation of movement.

Patient Data

Age: 55
Gender: Male
MRI

Marrow edema at both articulating surfaces of the right sacroiliac joint with post contrast enhancement. No significant effusion is seen. Normal joint space. No evidence of sclerosis or any chronic changes. There is also associated inflamation of the right iliacus and gluteal muscles manifested as abnormal bright T2 signal and post contrast enhancement enhancment.  

Case Discussion

Evident sacroiliitis highly suggested by the bone marrow edema and the corresponding post contrast enhancement. No radiological signs of chronic changes of the sacroiliac joint together with the acute presentation of the patient and the positive lab results for Brucellosis suggest the diagnosis of acute Brucella sacroiliitis

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Case information

rID: 40729
Case created: 1st Nov 2015
Last edited: 6th Jun 2016
Inclusion in quiz mode: Included

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