Alqahtani Saad M, Jiang Fan, Barimani Bardia, Gdalevitch Marie
Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 1529 Cedar Avenue, Montreal, QC, Canada H3G 1A6 ; Department of Orthopedic Surgery, University of Dammam, Dammam 31451, Saudi Arabia.
Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 1529 Cedar Avenue, Montreal, QC, Canada H3G 1A6.
Case Rep Orthop. 2014;2014:982171. doi: 10.1155/2014/982171. Epub 2014 Dec 14.
Osteomyelitis of the pubis symphysis is a rare condition. There have been various reports in the literature of inflammation and osteomyelitis as well as septic arthritis of pubic symphysis. However, due to the fact that these conditions are rare and that the usual presenting symptoms are very nonspecific, osteomyelitis of the pubic symphysis is often misdiagnosed, thus delaying definitive treatment. We present a case that to our knowledge is the first case in literature of osteomyelitis of the pubic symphysis in a 17-year-old boy with juvenile idiopathic arthritis (JIA), which was initially misdiagnosed and progressed to bilateral adductor abscesses. A high suspicion of such condition should be considered in a JIA patient who presents with symphysis or thigh pain.
耻骨联合骨髓炎是一种罕见的病症。文献中已有关于耻骨联合炎症、骨髓炎以及化脓性关节炎的各种报道。然而，由于这些病症罕见且常见的症状非常不具特异性，耻骨联合骨髓炎常常被误诊，从而延误了确定性治疗。我们报告一例据我们所知是文献中首例17岁患有幼年特发性关节炎（JIA）的男孩发生耻骨联合骨髓炎的病例，该病例最初被误诊并发展为双侧内收肌脓肿。对于出现耻骨联合或大腿疼痛的JIA患者，应高度怀疑这种病症。
