Inflammatory Sacroiliitis in a Man With Spinal Cord Injury

This case report describes a man with a spinal cord injury who developed inflammatory sacroiliitis, an unusual cause of elevated inflammatory markers (ESR and CRP). This condition can be easily overlooked in patients with SCI due to sensory and motor deficits. The patient had a recent urinary tract infection, which may have contributed to the development of reactive arthritis affecting the sacroiliac joints. Reactive arthritis is a type of arthritis that can develop after an infection. Imaging studies, such as bone scans and pelvic radiography, are essential for diagnosing sacroiliitis in patients with SCI, as clinical presentation may be obscured by sensory and motor deficits.

• 1
  Inflammatory sacroiliitis can be an unusual cause of elevated ESR and CRP levels in patients with SCI.
• 2
  Sensory and motor deficits in SCI patients may obscure the typical clinical presentation of sacroiliitis, making diagnosis challenging.
• 3
  A recent urinary tract infection might be a causative factor for sacroiliitis in this patient.