A 37-year-old female patient with n

A 37-year-old female patient with no medical or family history had no particular problems during pregnancy. However, at 36 weeks of pregnancy, a nonreassuring fetal status was found, and her first child was born by cesarean delivery. She had no postoperative abnormalities, and the surgical wound site healed well.However, 7 days after surgery, right buttock pain developed with
no trigger. She visited the hospital because of the gradually worsening
buttock pain, gait disturbance, and fever. Her body temperature
was 38.4
C, and severe tenderness was present in the right
buttock. A pelvic compression test was positive for the right
buttock. Blood testing showed a white blood cell level of
13.96  109/L, a left shift on the differential white blood count, and
a remarkably elevated C-reactive protein level of 220 mg/L. A pelvic
radiograph showed no remarkably abnormal findings such as
osteolysis or osteosclerosis (Fig. 1), but contrast-enhanced
computed tomography revealed enlargement of the right iliac
muscle and an abscess accompanied by ring-enhancing lesions
anteroposterior to the right sacroiliac joint (Fig. 2).
Magnetic resonance imaging centered on the right sacroiliac
jointwas performed. The T1-weighted image showed low intensity,
and the T2-weighted image revealed abnormal high intensity of the
bone marrow and a lesion believed to be an abscess 1.5 cm in
diameter in the region anteroposterior to the joint (Fig. 3). Based on
these results, the patient was diagnosed with pyogenic sacroiliitis.
X-ray-guided puncture of the sacroiliac joint and abscess was performed,
and approximately 2 mL of milketea-like puncture fluid
was collected. Culture of the puncture fluid revealed the presence
of MRSA. Blood and urine cultures were negative. After a 3-week
combined administration of vancomycin and rifampicin, a 3-week
administration of arbekacin was performed. Her symptoms subsequently
disappeared, her blood test results became normal, and
she was discharged from the hospital. One year after discharge, no
recurrence was observed, and she has a favorable prognosis.

結果 (中文) 3:

一位37岁的女病人，没有医学或家族病史，在怀孕期间没有特别的问题。然而，在怀孕36周，一个压宁胎儿状况发现，她的第一个孩子是通过剖腹产出世。她术后无异常，和手术伤口愈合良好。然而，手术后7天，与
没有触发右臀部疼痛。她参观了医院由于逐渐恶化
臀部疼痛，步态障碍，发热。她的体温
38.4
C，重度压痛在右臀目前
。一个骨盆挤压试验对
臀部呈阳性。血液检测显示白细胞水平的
13.96  109／L，在白血球数左移，并
一个显著升高的C-反应蛋白水平为220毫克/升的盆腔
X线片显示没有如
骨溶解或硬化显著异常（图1），但
造影CT显示右髂
肌肥大，伴有环形强化病变
前后右侧骶髂关节脓肿（图2）。
磁共振成像以右侧骶髂关节进行
。T1加权图像呈低密度，
和T2加权图像显示的
骨髓异常强度高，病变被认为是该地区前后脓肿1.5厘米直径
关节（图3）。基于
这些结果，患者被诊断为化脓性骶髂关节炎。
X线引导穿刺骶髂关节脓肿进行，
和大约2毫升的milketea喜欢收集
穿刺液。对穿刺液培养出MRSA存在
。血和尿培养均为阴性。一周的
万古霉素和利福平联合用药后，一周
阿贝卡星进行管理。她的症状随后消失了，她的血液检测结果变得正常了，她出院了。出院1年后，观察无复发，预后良好。