Pubic symphysis osteomyelitis associated with costal osteitis caused by Staphylococcus aureus after trauma: A case report.
| Title: | Pubic symphysis osteomyelitis associated with costal osteitis caused by Staphylococcus aureus after trauma: A case report. |
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| Authors: | Bouazra R; Rheumatology Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia.; Feki A; Rheumatology Department, Hedi Chaker University Hospital, Sfax, Tunisia.; Sellami I; Occupational Department, Hedi Chaker University Hospital, Sfax, Tunisia.; Zribi C; Rheumatology Department, Hedi Chaker University Hospital, Sfax, Tunisia.; Gassara Z; Rheumatology Department, Hedi Chaker University Hospital, Sfax, Tunisia.; Ben Djemaa S; Rheumatology Department, Hedi Chaker University Hospital, Sfax, Tunisia.; Ezzeddine M; Rheumatology Department, Hedi Chaker University Hospital, Sfax, Tunisia.; Kallel MH; Rheumatology Department, Hedi Chaker University Hospital, Sfax, Tunisia.; Fourati H; Rheumatology Department, Hedi Chaker University Hospital, Sfax, Tunisia.; Baklouti S; Rheumatology Department, Hedi Chaker University Hospital, Sfax, Tunisia. |
| Source: | SAGE open medical case reports [SAGE Open Med Case Rep] 2024 Aug 19; Vol. 12, pp. 2050313X241275022. Date of Electronic Publication: 2024 Aug 19 (Print Publication: 2024). |
| Publication Type: | Case Reports; Journal Article |
| Language: | English |
| Journal Info: | Publisher: SAGE Publications Country of Publication: England NLM ID: 101638686 Publication Model: eCollection Cited Medium: Print ISSN: 2050-313X (Print) Linking ISSN: 2050313X NLM ISO Abbreviation: SAGE Open Med Case Rep Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: [London] : SAGE Publications, 2013- |
| Abstract: | Osteomyelitis of the pubic symphysis is a rare infectious disease commonly caused by the opportunistic bacteria Staphylococcus aureus and Pseudomonas aeruginosa. The clinical context includes fever, and pubic, or abdominal pain, thus should prompt a biological, microbiological, and radiological assessment. We report the case of a 16-year-old patient who developed inflammatory pygalgia in a febrile context laboratory examination showed an elevation of C-reactive protein and sedimentation rate. Pelvic X-rays and magnetic resonance showed bilateral bone lysis and destruction of the edges of the pubic symphysis, in addition to a pubic pelvic collection. Bacteriological examination revealed by methicillin-sensible S. aureus. The patient was put on antibiotic therapy for 2 months with good clinical and radiological evolution without surgical debridement. In conclusion, osteomyelitis of pubic symphysis can be misdiagnosed because of its atypical manifestations. Recovery is often achieved if adequate treatment is started early.; (© The Author(s) 2024.) |
| Competing Interests: | The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
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| Contributed Indexing: | Keywords: MRI; Pubic symphysis; Staphylococcus aureus; antibiotherapy; osteomyelitis; septic arthritis |
| Entry Date(s): | Date Created: 20240821 Latest Revision: 20240822 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11334124 |
| DOI: | 10.1177/2050313X241275022 |
| PMID: | 39165303 |
| Database: | MEDLINE |
Case Reports; Journal Article