Sacroiliitis as rare presentation of brucellosis: a case report
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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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