Abstract
Background: Properly administered, lumbar epidural analgesia provides adequate pain relief during labor and delivery, and is considered to be a safe procedure with limited complications. The prevalence of infection after lumbar epidural analgesia is negligible.
Introduction: Infection of the sacroiliac joint, although very close to the pucture area, has never been reported as a procedure complication.
Case: In this report, we describe a patient who experienced bacterial sacroiliitis a few days after lumbar epidural analgesia for labor. No portal of entry was identified, and we evoked a new potential risk factor that has never been proposed before, namely lumbar epidural analgesia.
Conclusion: Sacroiliitis must be considered as a rare but serious complication of lumbar epidural analgesia.
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Selected References
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- Abbott G. T., Carty H. Pyogenic sacroiliitis, the missed diagnosis? Br J Radiol. 1993 Feb;66(782):120–122. doi: 10.1259/0007-1285-66-782-120. [DOI] [PubMed] [Google Scholar]
- Coy J. T., 3rd, Wolf C. R., Brower T. D., Winter W. G., Jr Pyogenic arthritis of the sacro-iliac joint. Long-term follow-up. J Bone Joint Surg Am. 1976 Sep;58(6):845–849. [PubMed] [Google Scholar]
- Crawford J. S. Some maternal complications of epidural analgesia for labour. Anaesthesia. 1985 Dec;40(12):1219–1225. doi: 10.1111/j.1365-2044.1985.tb10664.x. [DOI] [PubMed] [Google Scholar]
- Delbarre F., Rondier J., Delrieu F., Evrard J., Cayla J., Menkes C. J., Amor B. Pyogenic infection of the sacro-iliac joint. Report of thirteen cases. J Bone Joint Surg Am. 1975 Sep;57(6):819–825. [PubMed] [Google Scholar]
- Dunn E. J., Bryan D. M., Nugent J. T., Robinson R. A. Pyogenic infections of the sacro-iliac joint. Clin Orthop Relat Res. 1976 Jul-Aug;(118):113–117. [PubMed] [Google Scholar]
- Gordon G., Kabins S. A. Pyogenic sacroiliitis. Am J Med. 1980 Jul;69(1):50–56. doi: 10.1016/0002-9343(80)90499-4. [DOI] [PubMed] [Google Scholar]
- Guyot D. R., Manoli A., 2nd, Kling G. A. Pyogenic sacroiliitis in i.v. drug abusers. AJR Am J Roentgenol. 1987 Dec;149(6):1209–1211. doi: 10.2214/ajr.149.6.1209. [DOI] [PubMed] [Google Scholar]
- Jajić I., Fürst Z., Kraij K., Ograjsek A., Orlić D., Pećina M. Septic sacroiliitis. An analysis of 14 patients. Acta Orthop Scand. 1983 Apr;54(2):210–211. doi: 10.3109/17453678308996558. [DOI] [PubMed] [Google Scholar]
- Kerr R. Pyogenic sacroiliitis. Orthopedics. 1985 Aug;8(8):1028–1034. doi: 10.3928/0147-7447-19850801-15. [DOI] [PubMed] [Google Scholar]
- Longoria R. R., Carpenter J. L. Anaerobic pyogenic sacroiliitis. South Med J. 1983 May;76(5):649–651. doi: 10.1097/00007611-198305000-00029. [DOI] [PubMed] [Google Scholar]
- Lurie S., Priscu V. Update on epidural analgesia during labor and delivery. Eur J Obstet Gynecol Reprod Biol. 1993 May;49(3):147–153. doi: 10.1016/0028-2243(93)90263-c. [DOI] [PubMed] [Google Scholar]
- Oka M., Möttönen T. Septic sacroiliitis. J Rheumatol. 1983 Jun;10(3):475–478. [PubMed] [Google Scholar]
- Shanahan M. D., Ackroyd C. E. Pyogenic infection of the sacro-iliac joint. A report of 11 cases. J Bone Joint Surg Br. 1985 Aug;67(4):605–608. doi: 10.1302/0301-620X.67B4.4030859. [DOI] [PubMed] [Google Scholar]
- Shapiro S. K., See C. E. Pyogenic sacroiliitis. Minn Med. 1986 Apr;69(4):201–204. [PubMed] [Google Scholar]
- Vyskocil J. J., McIlroy M. A., Brennan T. A., Wilson F. M. Pyogenic infection of the sacroiliac joint. Case reports and review of the literature. Medicine (Baltimore) 1991 May;70(3):188–197. doi: 10.1097/00005792-199105000-00003. [DOI] [PubMed] [Google Scholar]