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Related Experiment Videos

Infectious osteitis pubis.

E Michiels1, D C Knockaert, S B Vanneste

  • 1Department of Medicine, University Hospital Gasthuisberg, Leuven, Belgium.

The Netherlands Journal of Medicine
|June 1, 1990
PubMed
Summary
This summary is machine-generated.

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A Pseudomonas aeruginosa infection caused severe pubic pain and gait issues in a woman post-Burch operation. Long-term antibiotics successfully treated the infectious symphysitis, highlighting the importance of distinguishing it from noninfectious causes.

Area of Science:

  • Urology
  • Infectious Diseases
  • Orthopedic Surgery

Background:

  • Urinary stress incontinence is often treated with surgical procedures like the Burch operation.
  • Postoperative complications can arise, necessitating careful diagnosis and management.
  • Distinguishing between infectious and non-infectious inflammatory conditions of the symphysis pubis is crucial.

Observation:

  • A 65-year-old woman developed severe suprapubic pain and a waddling gait one month after a Burch operation.
  • Initial conservative treatments (bed rest, NSAIDs, corticosteroids) were ineffective.
  • A biopsy revealed Pseudomonas aeruginosa, indicating infectious symphysitis.

Findings:

  • Intravenous antibiotics followed by oral ofloxacin led to complete clinical recovery.

Related Experiment Videos

  • Radiological imaging showed progressive improvement in the symphysis pubis.
  • The case underscores the importance of considering infectious etiologies in refractory pubic pain post-surgery.

    • Implications:

    • This case highlights a rare but serious infectious complication following a common urological procedure.
    • Accurate differentiation between osteitis pubis and infectious symphysitis is vital for appropriate treatment.
    • Prompt diagnosis and targeted antibiotic therapy can lead to favorable outcomes in infectious symphysitis.