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Acute pubic osteomyelitis in athletes.

H N Ukwu1, B S Graham, R H Latham

  • 1Department of Medicine, Alvin C. York Veterans Administration Medical Center, Murfreesboro, Tennessee.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|October 1, 1992
PubMed
Summary
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Pubic osteomyelitis in athletes presents with severe groin pain, fever, and difficulty walking. Early diagnosis via bone culture is crucial for prompt treatment, even if X-rays show delayed changes.

Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Sports Medicine

Background:

  • Pubic osteomyelitis is a rare bone infection.
  • Athletes may be at increased risk due to repetitive stress and potential microtrauma.

Observation:

  • Three cases of pubic osteomyelitis in athletes are presented.
  • Symptoms included acute groin/hip/perineal pain, fever, chills, and inability to bear weight.
  • Tenderness over the pubic symphysis was a key clinical sign.

Findings:

  • Radiographic changes in the pubic bone can be delayed, necessitating a high index of suspicion.
  • Staphylococcus aureus is the most common pathogen.
  • Diagnosis should be confirmed by blood or pubic bone aspirate cultures.

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Implications:

  • Prompt and accurate diagnosis is essential for effective treatment.
  • Early targeted antibiotic therapy based on culture results improves outcomes.
  • Clinicians should consider pubic osteomyelitis in athletes with suggestive symptoms.