Bouazra Raghda, Feki Afef, Sellami Imen, Zribi Chema, Gassara Zouhour, Ben Djemaa Samar, Ezzeddine Mariam, Kallel Mohamed Hédi, Fourati Hela, Baklouti Sofien
Rheumatology Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
Rheumatology Department, Hedi Chaker University Hospital, Sfax, Tunisia.
SAGE Open Med Case Rep. 2024 Aug 19;12:2050313X241275022. doi: 10.1177/2050313X241275022. eCollection 2024.
Osteomyelitis of the pubic symphysis is a rare infectious disease commonly caused by the opportunistic bacteria and . 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 . 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.
耻骨联合骨髓炎是一种罕见的感染性疾病，通常由机会性细菌引起。临床症状包括发热、耻骨或腹痛，因此应进行生物学、微生物学和放射学评估。我们报告一例16岁患者，在发热情况下出现炎性臀痛，实验室检查显示C反应蛋白和血沉升高。骨盆X线和磁共振显示双侧骨质溶解以及耻骨联合边缘破坏，此外还有耻骨盆腔积液。细菌学检查显示对甲氧西林敏感。该患者接受了2个月的抗生素治疗，临床和放射学表现均有良好改善，未进行手术清创。总之，耻骨联合骨髓炎因其非典型表现可能会被误诊。如果早期开始充分治疗，通常可以实现康复。
