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[Pubic osteomyelitis in athletes].

P Sève1, A Boibieux, C Pariset

  • 1Service des maladies infectieuses, hôpital de la Croix-Rousse, 69004 Lyon, France.

La Revue De Medecine Interne
|July 4, 2001
PubMed
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Acute Staphylococcus aureus pubic osteomyelitis can affect young athletes presenting with groin pain and fever. Early diagnosis and prolonged antibiotic treatment are crucial for recovery in these athletic individuals.

Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Sports Medicine

Background:

  • Pubic osteomyelitis is rare in athletes, unlike in children, elderly patients, or drug abusers.
  • Staphylococcus aureus is a common pathogen in this condition.

Observation:

  • Three young male athletes presented with acute groin/hip pain, fever, and inability to bear weight.
  • Physical examination revealed pubic symphysis tenderness.

Findings:

  • Diagnosis was confirmed via blood cultures and characteristic radiologic changes.
  • Staphylococcal pubic osteomyelitis should be suspected in athletes with febrile hip or groin pain.

Implications:

  • Preexisting trauma or athletic injury may predispose athletes to pubic osteomyelitis via transient bacteremia.

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  • Treatment requires prolonged antimicrobial therapy, potentially with surgical debridement for persistent cases.