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Pubic symphysis osteomyelitis associated with costal osteitis caused by Staphylococcus aureus after trauma: A case

Raghda Bouazra1, Afef Feki2, Imen Sellami3

  • 1Rheumatology Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia.

SAGE Open Medical Case Reports
|August 21, 2024
PubMed

Insights

Osteomyelitis of the pubic symphysis, a rare infection often caused by Staphylococcus aureus, requires prompt diagnosis. Early antibiotic treatment can lead to recovery without surgery.

Area of Science:

  • Infectious Diseases
  • Orthopedics
  • Radiology

Background:

  • Osteomyelitis of the pubic symphysis is a rare infectious condition.
  • Commonly caused by Staphylococcus aureus and Pseudomonas aeruginosa.

Observation:

  • A 16-year-old presented with fever and inflammatory pygalgia (pelvic pain).
  • Elevated C-reactive protein and sedimentation rate were noted.
  • Imaging revealed bone lysis, pubic symphysis destruction, and a pelvic collection.

Findings:

  • Bacteriological examination identified methicillin-susceptible Staphylococcus aureus.
  • The patient received 2 months of antibiotic therapy.
  • Clinical and radiological improvement was observed without surgical intervention.

Implications:

  • Pubic symphysis osteomyelitis can present atypically, leading to misdiagnosis.
  • Early and adequate antibiotic treatment is crucial for successful recovery.
  • This case highlights the importance of a comprehensive diagnostic approach.
Keywords:
MRIPubic symphysisStaphylococcus aureusantibiotherapyosteomyelitisseptic arthritis

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