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Acute Sacroiliac Joint Infection in a Rugby Player With Atopic Dermatitis

Yasuda, Tadashi MD, PhD*,†; Nisimatsu, Hidekazu MD*

Clinical Journal of Sport Medicine: November 2012 - Volume 22 - Issue 6 - p 508–510
doi: 10.1097/JSM.0b013e318258f06c
Case Report

Abstract: In athletes, acute bacterial infection is an unusual cause of pain in the sacroiliac joint. Although an entry site for infection is not always evident, the present case of a 15-year-old rugby player suggests the association between right sacroiliac joint infection and skin lesion of atopic dermatitis (AD) infected with group A streptococcus. Magnetic resonance imaging revealed inflammation around the sacroiliac joint with abscess formation. The infection resolved after a course of antibiotics. Because atopic skin lesion is a potential portal of bacteria, treatment for AD is essential for the prevention of pyogenic arthritis in athletes.

*Department of Orthopaedic Surgery, Tenri Hospital, Tenri, Japan

Department of Sports Medicine, Faculty of Budo and Sports Studies, Tenri University, Tenri, Japan.

Corresponding Author: Tadashi Yasuda, MD, PhD, Department of Sports Medicine, Faculty of Budo and Sports Studies, Tenri University, 80 Tainosho, Tenri 632-0071, Japan (tadyasu@sta.tenri-u.ac.jp).

The authors report no conflicts of interest.

Received November 18, 2011

Accepted April 4, 2012

© 2012 Lippincott Williams & Wilkins, Inc.