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Infectious osteitis pubis in an HIV seropositive female

N Desmond1, G E Bignardi, R J Coker

  • 1Department of Genitourinary Medicine, St Mary's Hospital, London, UK.

Genitourinary Medicine
|April 1, 1994
PubMed
Summary

Infectious osteitis pubis, a rare complication following abortion in a human immunodeficiency virus (HIV)-positive woman, was successfully treated. The infection was caused by Pseudomonas aeruginosa and resolved with oral ciprofloxacin.

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Area of Science:

  • Infectious diseases
  • Immunology
  • Gynecology

Background:

  • Osteitis pubis is a rare but serious condition that can occur after surgical procedures, including abortion.
  • Human immunodeficiency virus (HIV) infection can compromise the immune system, potentially increasing the risk of complications.

Observation:

  • A case of infectious osteitis pubis is presented in a female patient who was seropositive for HIV.
  • The patient had undergone a first-trimester abortion prior to the onset of symptoms.

Findings:

  • Joint aspiration revealed the presence of Pseudomonas aeruginosa, a common bacterium.
  • The patient received treatment with oral ciprofloxacin, a fluoroquinolone antibiotic.

Implications:

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  • This case highlights the importance of considering infectious osteitis pubis in HIV-positive individuals presenting with pelvic pain after abortion.
  • Prompt diagnosis and appropriate antibiotic treatment, such as with ciprofloxacin, are crucial for successful management.
  • Further research may be warranted to explore the specific risks and optimal management strategies for osteitis pubis in immunocompromised patients.