Salomon S, Lasselin-Boyard P, Lasselin J, Goëb V
EA 4666, service de rhumatologie, université de Picardie Jules-Verne, CHU d'Amiens, 80000 Amiens, France.
EA 4666, service de rhumatologie, université de Picardie Jules-Verne, CHU d'Amiens, 80000 Amiens, France.
Prog Urol. 2015 Mar;25(3):169-74. doi: 10.1016/j.purol.2014.12.006. Epub 2015 Jan 19.
The post-surgical septic arthritis of the pubic symphysis is a rare infection, often unrecognized because sometimes it is difficult to diagnose. It should be suspected in the presence of pelvic pain with fever and sometimes lameness or painful radiation to the lower limbs but the symptoms can be misleading. We report 3 cases of post surgical septic arthritis of the pubic symphysis to illustrate it. Differential diagnoses are numerous and additional tests not always specific. Computed tomography (CT) and magnetic resonance imaging (MRI) examinations are essential to substantiate the diagnosis or to guide sampling. The appropriate antibiotic treatment against the identified germ, which is extended at least six weeks, will most often, when started early, allow the healing though pain can persist for several months.
耻骨联合术后感染性关节炎是一种罕见的感染，常因有时难以诊断而未被识别。当出现盆腔疼痛伴发热，有时伴有跛行或下肢疼痛放射时，应怀疑此病，但这些症状可能会产生误导。我们报告3例耻骨联合术后感染性关节炎病例以作说明。鉴别诊断众多，额外检查也并非总是具有特异性。计算机断层扫描（CT）和磁共振成像（MRI）检查对于确诊或指导采样至关重要。针对已确定病原体的适当抗生素治疗至少持续六周，若早期开始治疗，多数情况下虽疼痛可能会持续数月，但仍可实现愈合。
