Three cases of pyogenic sacro-iliitis, and factors in the relapse of the disease

Koichi Tokuda, Masao Yoshinaga, Jun Ichiro Nishi, Naomi Takamatsu, Naoaki Ikarimoto, Yukihisa Matsuda, Naohisa Imakyurei, Koichi Okubo, Shin Ichi Nakazono, Koichiro Miyata

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)


Pyogenic sacro-iliitis (PS) is a rare disease in childhood. Three cases of PS are reported that were difficult to diagnose. Scintigraphy and magnetic resonance imaging (MRI) were useful for diagnosis. One patient suffered from an episode of relapse. Seventeen other cases of PS were reviewed in the literature to investigate the incidence of abnormal imaging findings and various factors in disease relapse. It was found that the incidence of abnormal findings by scintigraphy was significantly higher than that by computed tomography (P = 0.0057). The duration of intravenous antibiotic administration of the relapse group (14.7 ± 4.7 days) was significantly shorter than that of the non-relapse group (24.3 ± 10.7 days; P = 0.0376). The statistical analysis suggested that intravenous antibiotic administration is necessary at least for 20 days to prevent a relapse of PS.

Original languageEnglish
Pages (from-to)385-389
Number of pages5
JournalPediatrics International
Issue number3
Publication statusPublished - 1997 Jun
Externally publishedYes


  • Children
  • Infants
  • Pyogenic sacro-iliitis
  • Relapse

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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