Re: Concomitant Bilateral Sacroiliitis and Lumbar Spondylodiscitis Secondary to Staphylococcus aureus Sepsis
Year: 2025
Type: letter
Abstract: We read with great interest the case report by Gözdaş and Hızal describing Staphylococcus aureus bacteremia complicated by concomitant bilateral sacroiliitis and lumbar spondylodiscitis. 1 The authors are to be commended for presenting this rare co-occurrence, as infectious sacroiliitis remains a diagnostic challenge due to its nonspecific clinical presentation and frequent overlap with inflammatory spondyloarthritis.In this regard, magnetic resonance imaging (MRI) may help distinguish infectious from inflammatory sacroiliitis: infectious cases typically show asymmetric bone marrow edema, periarticular soft-tissue inflammation, and occasionally abscess formation, whereas inflammatory sacroiliitis tends to present with symmetric involvement and chronic structural lesions.
Author: Umut Bakay
Institution: Denizli Devlet Hastanesi
Language: English
Subfield: Rheumatology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7106660946
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