Pyogenic sacroiliitis caused by Salmonella schwarzengrund in a young healthy woman: a case report and literature review
Dublin Core
Title
Pyogenic sacroiliitis caused by Salmonella schwarzengrund in a young healthy woman: a case report and literature review
Subject
Non-typhoidal Salmonella, Pyogenic sacroiliitis, Psoas abscess
Description
Background Salmonella species are a leading cause of diarrheal diseases worldwide. Recent epidemiological studies
have shown that Salmonella schwarzengrund (S. schwarzengrund) is highly prevalent in various regions. Herein, we
report that S. schwarzengrund caused sacroiliac joint (SIJ) infection with septic shock in a young woman, although
she was immunocompetent.
Case presentation A 20-year-old woman presented with left hip pain, accompanied by vasopressor-requiring
hypotension. Her imaging examinations showed fluid collection in her SIJ and a small abscess in the left iliac muscle.
Later, the blood and aspiration fluid culture and genetic analysis revealed the presence of S. schwarzengrund. We
diagnosed sacroiliac joint (SIJ) infection with septic shock caused by S. schwarzengrund. Her condition improved after
performing several interventional radiology (IVR) procedures for SIJ abscesses and providing appropriate antibiotic
treatment. Finally, she was discharged without any sequelae. Screening tests and genetic analysis about her immuno-
deficiency did not indicate a congenital disorder.
Conclusion These clinical courses indicate that S. schwarzengrund could cause the fatal SIJ infection irrespective of
the host immunocompetence. Considering the recent increase in the diagnostic rate of S. schwarzengrund, this case
emphasized the need to be more cautious about Salmonella species infection.
Keywords Non-typhoidal Salmonella, Pyogenic sacroiliitis, Psoas abscess
have shown that Salmonella schwarzengrund (S. schwarzengrund) is highly prevalent in various regions. Herein, we
report that S. schwarzengrund caused sacroiliac joint (SIJ) infection with septic shock in a young woman, although
she was immunocompetent.
Case presentation A 20-year-old woman presented with left hip pain, accompanied by vasopressor-requiring
hypotension. Her imaging examinations showed fluid collection in her SIJ and a small abscess in the left iliac muscle.
Later, the blood and aspiration fluid culture and genetic analysis revealed the presence of S. schwarzengrund. We
diagnosed sacroiliac joint (SIJ) infection with septic shock caused by S. schwarzengrund. Her condition improved after
performing several interventional radiology (IVR) procedures for SIJ abscesses and providing appropriate antibiotic
treatment. Finally, she was discharged without any sequelae. Screening tests and genetic analysis about her immuno-
deficiency did not indicate a congenital disorder.
Conclusion These clinical courses indicate that S. schwarzengrund could cause the fatal SIJ infection irrespective of
the host immunocompetence. Considering the recent increase in the diagnostic rate of S. schwarzengrund, this case
emphasized the need to be more cautious about Salmonella species infection.
Keywords Non-typhoidal Salmonella, Pyogenic sacroiliitis, Psoas abscess
Creator
Yuki Tokuyama1
, Hiroyuki Yamada1,2, Ken Shinozuka1
, Tomoyuki Yunoki1 and Shigeru Ohtsuru1*
, Hiroyuki Yamada1,2, Ken Shinozuka1
, Tomoyuki Yunoki1 and Shigeru Ohtsuru1*
Source
https://doi.org/10.1186/s12245-023-00496-y
Date
2023
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Yuki Tokuyama1
, Hiroyuki Yamada1,2, Ken Shinozuka1
, Tomoyuki Yunoki1 and Shigeru Ohtsuru1*, “Pyogenic sacroiliitis caused by Salmonella schwarzengrund in a young healthy woman: a case report and literature review,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/12126.