Septic Sacroiliitis in a Teenager – A Rare Complication of Acupuncture
DOI:
https://doi.org/10.3941/jrcr.5303Abstract
We present a case of septic sacroiliitis in a teenage girl, which developed as a rare complication of acupuncture therapy for back pain, likely attributed to inadequate skin preparation and sterilization. The patient underwent contrast enhanced magnetic resonance imaging of the sacroiliac joints and pelvis, which demonstrated features consistent with acute unilateral right sacroiliitis, complicated by rim-enhancing joint effusion and small periarticular collections. Aspiration under ultrasound guidance yielded gram positive bacteria. Following completion of 6 weeks’ duration of intravenous cloxacillin, the patient’s symptoms resolved at the latest follow up. To the best of our knowledge, this is the first reported case of septic sacroiliitis resulting from acupuncture therapy in a paediatric patient, which highlights the important role of imaging in prompt diagnosis and in guiding treatment.
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