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Acute Osteomyelitis of the Pubic Symphysis: A Case Report
Javier A Jara1,2, Fernando A Inostroza3, Felipe I Farias4
1Orthopaedics and Trauma, Universidad de La Frontera, Temuco, CHL.
Abstract:
Pubis osteomyelitis is an uncommon disease, accounting for less than 1% of all bone infections. It occurs secondarily to hematogenous bacterial planting or direct inoculation. Clinically, it presents with intense acute pubic pain, limited mobility, and high fever, so it is rarely suspected initially. Its diagnosis can be easily confused with pubalgia, that do not respond to treatment. We present the case of a 17-year-old patient who sought consultation for three weeks of coxalgia associated with general discomfort and fever. Following a laboratory and imageological study, the diagnosis of acute pubis osteomyelitis was determined, which required surgical intervention and a subsequent pharmacological therapy for six weeks.
Insights
Pubis osteomyelitis, a rare bone infection, presents with severe pubic pain and fever. Early diagnosis and surgical intervention are crucial for effective treatment of this uncommon condition.
Area of Science:
- Orthopedics
- Infectious Diseases
- Skeletal System Infections
Background:
- Pubis osteomyelitis is a rare bone infection, comprising less than 1% of all cases.
- It typically arises from bacterial spread through the bloodstream or direct inoculation.
- Clinical presentation includes severe pubic pain, reduced mobility, and fever, often leading to initial misdiagnosis.
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