KMID : 0377619770330050441
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Korean Jungang Medical Journal 1977 Volume.33 No. 5 p.441 ~ p.441
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Clinical Observation on the Sacroiliac Joint Infection
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Abstract
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The sacroiliac joint is, as other joints, the predilection site of tuberculous or pyogenic infection.
Twenty cases of sacroiliac joint infection were seen and treated at our depar-tment during the 11 years and 7 months from July, 1964 to February, 1976. These studies were analyzed clinically and the following results were obtained. 1. Among the 20 cases, 9 cases were tuberculous infection, 8 cases were mixed infection and 3 cases were pyogenic infection.
2. Sex distribution showed 9 males and 11 females. Age distribution was from 7 years to. 43 years (average: 22 years) with the peak incidence in the second and third decade of life.
3. Mode of onset was chronic in tuberculous, while acute in pyogenic infec-tion.
4. Clinical findings were pain and tenderness at the sacroiliac joint region in- all cases. High fever was seen in all of the cases. of pyogenic infection, 5 of the 8 cases of mixed infection and in 2 of the 9 cases of tuberculous infection.
5. E.S.R. was increased in all cases except one case of tuberculous infection, while leukocytosis was not a consistent finding.
6. Various treatments were carried out in all cases. These included immobili-zation, antibiotics, antituberculous chemotherapy, incision and drainage, and cu-rettage with or without fusion of joint.
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