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A previously healthy 31-year-old woman presented to our emergency department with a 1-month history of fever, non-productive cough, malaise and weight loss. She also reported having had low back and left buttock pain for the last 5 months. Stress tests of the sacroiliac joint, namely the lateral pelvic compression test, the flexion, abduction and external rotation of the hip joint test and the Gaenslen’s test (hyperextension of the hip with pelvis fixed by flexion of opposite hip and knee) were positive, that …