{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:10:04Z","timestamp":1756289404429,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,4,18]]},"abstract":"<jats:p>A 9-year-old boy admitted to a district general hospital with a 1-week history of fever and a 2-day history of right hip pain. Initial workup revealed raised inflammatory markers and unremarkable imaging studies. After clinical review, there was minimal improvement of the patient\u2019s condition 5\u2009days after presentation; therefore, an MRI of the pelvis\/hips was carried out, which supported a clinical diagnosis of right-sided infective sacroiliitis. Infective sacroiliitis is rare and only represents 1%\u20132% of septic arthritis in children. The condition still remains a diagnostic challenge first due to poor localisation of symptoms with referred pain to the hip, thigh and lower back and second due to a lack of awareness by non-specialist clinicians. Early diagnosis is a key to avoid sequelae such as an abscess, degenerative changes of the sacroiliac joint and can be achieved by a thorough clinical examination, monitoring inflammatory markers and MRI.<\/jats:p>","DOI":"10.1136\/bcr-2017-219279","type":"journal-article","created":{"date-parts":[[2017,5,6]],"date-time":"2017-05-06T09:05:10Z","timestamp":1494061510000},"page":"bcr-2017-219279","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Unilateral infective sacroiliitis in a boy presenting with a limp"],"prefix":"10.1136","volume":"2017","author":[{"given":"Reeya","family":"Patel","sequence":"first","affiliation":[{"name":"Surgery, UCLH, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Monem","sequence":"additional","affiliation":[{"name":"Otolaryngology, East and North Hertfordshire NHS Trust, Stevenage, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamer","family":"Sherief","sequence":"additional","affiliation":[{"name":"Lister Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,5,6]]},"reference":[{"key":"2025082702481913000_2017.may06_1.bcr-2017-219279.1","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/00003086-198909000-00023","article-title":"Pyogenic sacroiliac joint infection","volume":"246","author":"Hodgson","year":"1989","journal-title":"Clin Orthop Relat Res"},{"key":"2025082702481913000_2017.may06_1.bcr-2017-219279.2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kem201"},{"key":"2025082702481913000_2017.may06_1.bcr-2017-219279.3","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/00003086-198909000-00023","article-title":"Pyogenic sacroiliac joint infection","volume":"246","author":"Hodgson","year":"1989","journal-title":"Clin Orthop"},{"key":"2025082702481913000_2017.may06_1.bcr-2017-219279.4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c4250"},{"key":"2025082702481913000_2017.may06_1.bcr-2017-219279.5","doi-asserted-by":"crossref","first-page":"572","DOI":"10.3109\/17453674.2012.736167","article-title":"Legg-Calv\u00e9-Perthes disease and the risk of injuries requiring hospitalization","volume":"83","author":"Hailer","year":"2012","journal-title":"Acta Orthopaedica"},{"key":"2025082702481913000_2017.may06_1.bcr-2017-219279.6","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.81B6.9607"},{"key":"2025082702481913000_2017.may06_1.bcr-2017-219279.7","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1007\/BF02030074","article-title":"Clinical sequelae and sacroiliac joint changes by computed tomography after recovery from septic sacroiliitis","volume":"8","author":"Haanp\u00e4\u00e4","year":"1989","journal-title":"Clin Rheumatol"},{"key":"2025082702481913000_2017.may06_1.bcr-2017-219279.8","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1097\/01.bpo.0000230327.98836.46","article-title":"The early diagnosis of sacroiliac joint infections in children","volume":"26","author":"Grippi","year":"2006","journal-title":"J Pediatr Orthop"},{"key":"2025082702481913000_2017.may06_1.bcr-2017-219279.9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2012\/415323","article-title":"Pyogenic sacroiliitis in children: two case reports","volume":"2012","author":"Ghedira Besbes","year":"2012","journal-title":"Case Rep Med"},{"key":"2025082702481913000_2017.may06_1.bcr-2017-219279.10","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-199101000-00020"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-219279","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:48:31Z","timestamp":1756288111000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-219279"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,6]]},"references-count":10,"alternative-id":["10.1136\/bcr-2017-219279"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-219279","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,5,6]]}}}