Sacroiliitis as rare presentation of brucellosis: a case report

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Ahmed Khaleel Abed Al-karkhi
Mohammed Abdulkader Alchalabi
Jalil Ibrahim Al-ezzi

Abstract

Background: Brucellosis is a zoonotic infection with diverse clinical manifestations and may present with musculoskeletal involvement. Sacroiliitis is common in adults but rare in children, often leading to delayed diagnosis. 


Case presentation: We report the case of a 13-year-old boy with brucella sacroiliitis confirmed by positive serology and magnetic resonance imaging. The patient presented with prolonged low-grade fever and back pain without other classical signs of brucellosis. Plain radiography was normal, while MRI revealed sacroiliitis. He responded promptly to appropriate antimicrobial therapy.


Conclusion: This case highlights the importance of considering brucellosis in children presenting with unexplained sacroiliitis, particularly in endemic regions, and emphasizes the diagnostic value of MRI and serological testing.

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1.
Sacroiliitis as rare presentation of brucellosis: a case report. J Ideas Health [Internet]. 2025 Dec. 31 [cited 2026 Jan. 2];8(6):1369-71. Available from: https://www.jidhealth.com/index.php/jidhealth/article/view/436

References

1. Shrestha B, Shrestha P, Bastakoti S, Gupta P, Magar SRA. Chronic brucellosis with sacroiliitis: A case report. Clin Case Rep. 2024 Nov 8;12(11):e9525. doi: 10.1002/ccr3.9525.

2. Sandakly N, El Koubayati G, Ayoub A, Haddad F. Brucellosis complicated by piriformis myositis and sacroiliitis: A case report and a review of the literature. Heliyon. 2024 Mar 27;10(7):e28617. doi: 10.1016/j.heliyon.2024.e28617. .

3. Orunoglu M, Gokoglu A. Foot drop secondary to spinal abscess caused by brucellosis: A case report. J Pak Med Assoc. 2025 May;75(5):799-802. doi: 10.47391/JPMA.11082.

4. Çiftdoğan DY, Aslan S. Osteoarticular involvement of brucellosis in pediatric patients: clinical and laboratory characteristics. Turk J Pediatr. 2020;62(2):199-207. doi: 10.24953/turkjped.2020.02.005.

5. Yousufzai S, Moqadas M, Khoramian MK, Sharifi S, Hosseini H. Brucellosis-induced bilateral avascular necrosis of the hip joints in a middle-aged Iranian woman with refractory intolerance to medications: A case report. Int J Surg Case Rep. 2024 Jul;120:109808. doi: 10.1016/j.ijscr.2024.109808.

6. Alshamrani SM, Alsharif MS, Khobrani FM. Brucellosis and Sacroiliitis Present as Acute Severe Hip Pain. Cureus. 2024 May 31;16(5):e61415. doi: 10.7759/cureus.61415.

7. Morovati S, Bozorgomid A, Mohammadi A, Ahmadi F, Arghand L, Khosravi Shadmani F, Sayad B. Brucellar arthritis and sacroiliitis: an 8-year retrospective comparative analysis of demographic, clinical, and paraclinical features. Ther Adv Infect Dis. 2024 May 7;11:20499361241246937. doi: 10.1177/20499361241246937.

8. Wang Y, Geng S, Lin Z, Jiang H, Yang C, Zhang Y, Huang F. Clinical and imaging characteristics of 135 cases of infectious sacroiliitis: a retrospective cohort study in China. Clin Rheumatol. 2025 Mar;44(3):1337-1344. doi: 10.1007/s10067-024-07278-8.