Konik Ewa, Bauer Brent, Lee Mark
Vanderbilt University, TN;
Mayo Clinic Rochester, MN, USA.
Clin Pract. 2011 Oct 19;1(3):e76. doi: 10.4081/cp.2011.e76. eCollection 2011 Jul 1.
Septic arthritis of the pubic symphysis is a rare disease. Typical clinical features include fever, pubic or groin pain, pain with hip motion, and painful or waddling gait. Identified predisposing factors to develop an infection in pubic joint include female incontinence surgery or postpartum period; sports, especially soccer; pelvic malignancy; and intravenous drug abuse. The most often identified microorganisms were Staphylococcus aureus and Pseudomonas aeruginosa. Osteomyelitis complicates the majority of cases, and about half of the patients require surgical debridement along with a prolonged antibiotic treatment. We report a case of Streptococcus anginosus septic arthritis of the pubic symphysis. The patient did not have any of the above risk factors.
耻骨联合化脓性关节炎是一种罕见疾病。典型的临床特征包括发热、耻骨或腹股沟疼痛、髋关节活动时疼痛以及疼痛性或蹒跚步态。已确定的耻骨联合发生感染的易感因素包括女性尿失禁手术或产后时期；体育运动，尤其是足球；盆腔恶性肿瘤；以及静脉药物滥用。最常鉴定出的微生物是金黄色葡萄球菌和铜绿假单胞菌。大多数病例会并发骨髓炎，约一半的患者需要手术清创以及长期抗生素治疗。我们报告一例由咽峡炎链球菌引起的耻骨联合化脓性关节炎病例。该患者没有上述任何危险因素。
