del Busto R, Quinn E L, Fisher E J, Madhavan T
JAMA. 1982 Sep 24;248(12):1498-500.
Seven cases of osteomyelitis of the pubis are reported. Predisposing factors leading to osteomyelitis included parenteral drug abuse in six patients and pelvic surgery in one patient. The average duration of symptoms before diagnosis was three weeks. Needle aspiration of the symphysis pubis was performed in five patients, and culture results were positive in three of them. Two patients with negative cultures of needle aspirates had positive cultures from open biopsy specimens of the symphysis pubis. Blood cultures were done in all patients, and results were positive in two of them. Pseudomonas aeruginosa was the responsible pathogen in five patients, Escherichia coli in one, and Staphylococcus aureus in one. Most patients required several weeks of antibiotic therapy. None required surgical debridement.
报告了7例耻骨骨髓炎病例。导致骨髓炎的诱发因素包括6例患者有非肠道药物滥用史，1例患者有盆腔手术史。诊断前症状的平均持续时间为3周。5例患者进行了耻骨联合穿刺抽吸，其中3例培养结果呈阳性。2例穿刺抽吸培养结果为阴性的患者，耻骨联合开放活检标本培养结果呈阳性。所有患者均进行了血培养，其中2例结果呈阳性。5例患者的致病病原体为铜绿假单胞菌，1例为大肠杆菌，1例为金黄色葡萄球菌。大多数患者需要数周的抗生素治疗。无人需要手术清创。
