{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T04:52:17Z","timestamp":1766119937771,"version":"3.48.0"},"reference-count":12,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,11,25]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>\n                    Disseminated spinal infections are characteristically demonstrated in\n                    <jats:italic>Mycobacterium tuberculosis<\/jats:italic>\n                    infections. However, we present a rare case of an elderly male with a disseminated\n                    <jats:italic>Staphylococcus aureus<\/jats:italic>\n                    infection, developing disseminated spinal infections with spondylodiscitis and right sacroiliitis with an associated right psoas and sacral collection. Moreover, secondary to the infection, the patient subsequently developed a large mycotic pseudoaneurysm of the right internal iliac artery.\n                    <jats:italic>S. aureus<\/jats:italic>\n                    is a virulent pathogen; however, haematogenous dissemination affecting multiple musculoskeletal sites is relatively uncommon. We will illustrate and discuss CT and MRI findings and their limitations in demonstrating the disseminated spinal infections and paraspinal collections and the subsequent development and treatment of the mycotic pseudoaneurysm.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-267927","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T04:05:21Z","timestamp":1766117121000},"page":"e267927","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Spondylodiscitis extending to the right sacroiliac joint with subsequent development of amycotic pseudoaneurysm"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2103-2506","authenticated-orcid":false,"given":"Eushaa","family":"Mirza","sequence":"first","affiliation":[{"name":"Radiology (East Midlands South Training Programme), Kettering General Hospital, Kettering, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9849-1976","authenticated-orcid":false,"given":"Jatin","family":"Naidu","sequence":"additional","affiliation":[{"name":"University College London Medical School, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasanth Kumar","family":"Baskaradoss","sequence":"additional","affiliation":[{"name":"Kettering General Hospital, Kettering, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"2025121820051395000_18.12.e267927.1","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2017.0875"},{"key":"2025121820051395000_18.12.e267927.2","doi-asserted-by":"crossref","unstructured":"G\u00f6zda\u015f HT , Hizal M . Concomitant Bilateral Sacroiliitis and Lumbar Spondylodiscitis Secondary to Staphylococcus aureus Sepsis. Erciyes Medical Journal 2020;112\u20133. doi:10.14744\/etd.2019.23865","DOI":"10.14744\/etd.2019.23865"},{"key":"2025121820051395000_18.12.e267927.3","unstructured":"Rivera PA , Dattilo JB . Pseudoaneurysm. In: Statpearls. 2024."},{"key":"2025121820051395000_18.12.e267927.4","unstructured":"Golden MR , Vikram HR . Tuberculosis and other mycobacterial infections. In: Walker HK , Hall WD , Hurst JW , eds. Clinical methods: the history, physical, and laboratory examinations. 3rd edn. Boston: Butterworths, 1990. Available: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562300\/"},{"key":"2025121820051395000_18.12.e267927.5","doi-asserted-by":"crossref","first-page":"50","DOI":"10.55095\/achot2016\/009","article-title":"Septic Sacroiliitis Complicated by a Pseudoaneurysm of the Internal Iliac Artery. A Case Report","volume":"83","author":"Sal\u00e1\u0161ek","year":"2016","journal-title":"Acta Chir Orthop Traumatol Cech"},{"key":"2025121820051395000_18.12.e267927.6","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2020-239005","article-title":"Isolated internal iliac artery infected pseudoaneurysm occlusion using endovascular coil embolisation","volume":"14","author":"Rohith","year":"2021","journal-title":"BMJ Case Rep"},{"key":"2025121820051395000_18.12.e267927.7","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1007\/s12055-018-0760-x","article-title":"Internal iliac artery pseudoaneurysm: a rare presentation with foot drop and sciatica","volume":"35","author":"Ramakrishnan","year":"2019","journal-title":"Indian J Thorac Cardiovasc Surg"},{"key":"2025121820051395000_18.12.e267927.8","doi-asserted-by":"crossref","first-page":"375","DOI":"10.5811\/cpcem.2020.3.46183","article-title":"A Case Report of Widely Disseminated Tuberculosis in Immunocompetent Adult Male","volume":"4","author":"Esposito","year":"2020","journal-title":"Clinical Practice and Cases in Emergency Medicine"},{"key":"2025121820051395000_18.12.e267927.9","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1157\/13071609","article-title":"Spondylodiscitis and sacroiliitis due to Streptococcus agalactiae in adults: clinical case and literature review","volume":"23","author":"D\u00edaz-Gonz\u00e1lvez","year":"2005","journal-title":"Enferm Infecc Microbiol Clin"},{"key":"2025121820051395000_18.12.e267927.10","doi-asserted-by":"crossref","first-page":"1590","DOI":"10.1111\/1756-185X.14632","article-title":"Serious spondylodiscitis, septic sacroiliitis and multiple abscesses after ozone therapy for low back pain: A case report on good response to combined treatment with empiric antibiotic and neridronate","volume":"26","author":"Erroi","year":"2023","journal-title":"Int J Rheum Dis"},{"key":"2025121820051395000_18.12.e267927.11","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis803"},{"key":"2025121820051395000_18.12.e267927.12","unstructured":"National Institute for Health and Care Excellence . Sepsis: recognition, diagnosis and early management. NICE guideline [NG51]. NICE; 2016. Available: https:\/\/www.nice.org.uk\/guidance\/ng51"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-267927","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T04:05:23Z","timestamp":1766117123000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-267927"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":12,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12,18]]},"published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1136\/bcr-2025-267927"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-267927","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]}}}