Michiels E, Knockaert D C, Vanneste S B
Department of Medicine, University Hospital Gasthuisberg, Leuven, Belgium.
Neth J Med. 1990 Jun;36(5-6):297-300.
One month after a Burch operation, performed because of urinary stress incontinence, a 65-yr-old woman developed progressive suprapubic pain and a characteristic waddling gait. Initial treatment with bed rest, non-steroidal antiphlogistics and corticosteroids was unsuccessful. Six months later, a biopsy of the symphysis performed because of persisting disabling pain yielded a positive culture of Pseudomonas aeruginosa. A longlasting treatment with intravenously administered antibiotics followed by ofloxacin orally, resulted in complete clinical cure and progressive radiological improvement. The distinction between noninfectious osteitis pubis and infectious symphysitis or osteomyelitis of the pubis is discussed.
一名65岁女性因压力性尿失禁接受了伯奇手术，术后一个月出现进行性耻骨上疼痛和典型的蹒跚步态。最初采用卧床休息、非甾体抗炎药和皮质类固醇治疗均未成功。六个月后，因持续的致残性疼痛对耻骨联合进行活检，结果显示铜绿假单胞菌培养呈阳性。随后长期静脉注射抗生素，之后口服氧氟沙星，临床症状完全治愈，影像学表现也逐渐改善。文中讨论了非感染性耻骨骨炎与感染性耻骨联合炎或耻骨骨髓炎之间的区别。
