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Journal of Medical Case Reports

, 9:193

First Online: 11 September 2015Received: 24 April 2015Accepted: 17 August 2015DOI: 10.1186-s13256-015-0676-7

Cite this article as: Millwala, F., Chen, S., Tsaltskan, V. et al. J Med Case Reports 2015 9: 193. doi:10.1186-s13256-015-0676-7


IntroductionPyogenic sacroiliitis, a rare form of septic arthritis, occurs in patients following trauma, intravenous drug use, genitourinary infections and pregnancy. Here we report a rare case where both acupuncture and pregnancy served as predisposing risk factors to the development of this infection.

Case presentationA 33-year-old white woman received several sessions of acupuncture treatment during her gestation at the site of her sacroiliac joint for sciatica; she developed biopsy-confirmed sacroiliitis with methicillin-sensitive Staphylococcus aureus during the immediate postpartum period. The diagnosis, medical management and treatment course are described.

ConclusionsLow back and pelvic pain are common conditions during pregnancy and postpartum. Acupuncture is a common modality of medication-free treatment used by many patients. Recognition of the potential complications of such therapies can lead to early diagnosis, accurate treatment, decreased morbidity and increased chances for a successful outcome.

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Autor: Farida Millwala - Shuo Chen - Vladislav Tsaltskan - Gary Simon


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