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노권재,정순만,김남현,정인희 中央醫學社 1977 中央醫學 Vol.33 No.5
The sacroiliac joint is, as other joints, the predilection site of tuberculous or pyogenic infection. Twenty cases of sacroiliac joint infection were seen and treated at our depar-tment during the 11 years and 7 months from July, 1964 to February, 1976. These studies were analyzed clinically and the following results were obtained. 1. Among the 20 cases, 9 cases were tuberculous infection, 8 cases were mixed infection and 3 cases were pyogenic infection. 2. Sex distribution showed 9 males and 11 females. Age distribution was from 7 years to. 43 years (average: 22 years) with the peak incidence in the second and third decade of life. 3. Mode of onset was chronic in tuberculous, while acute in pyogenic infec-tion. 4. Clinical findings were pain and tenderness at the sacroiliac joint region in- all cases. High fever was seen in all of the cases. of pyogenic infection, 5 of the 8 cases of mixed infection and in 2 of the 9 cases of tuberculous infection. 5. E.S.R. was increased in all cases except one case of tuberculous infection, while leukocytosis was not a consistent finding. 6. Various treatments were carried out in all cases. These included immobili-zation, antibiotics, antituberculous chemotherapy, incision and drainage, and cu-rettage with or without fusion of joint.