Pang K W, Maffulli N, Chan K M
Department of Orthopaedics Traumatology, Chinese University of Hong Kong, Faculty of Medicine, Prince of Wales Hospital, Hong Kong.
Bull Hosp Jt Dis. 1995;54(2):106-8.
A 67-year-old woman was admitted with diffuse lower abdominal and suprapubic pain, with diastasis of the pubic symphysis. She developed an acute abdomen necessitating an exploratory laparotomy. During laparotomy, the pubic lesion was explored, and histology confirmed the diagnosis of pubic osteomyelitis and the presence of Staphylococcus aureus. The patient recovered fully with a four-week course of antibiotic therapy. This case confirms the protean presentation of pubic osteomyelitis, alerting physicians of the necessity to institute prompt treatment is such cases.
一名67岁女性因下腹部弥漫性疼痛和耻骨上疼痛入院，伴有耻骨联合分离。她出现了急腹症，需要进行剖腹探查术。在剖腹手术中，对耻骨病变进行了探查，组织学检查确诊为耻骨骨髓炎并发现金黄色葡萄球菌。患者通过为期四周的抗生素治疗完全康复。该病例证实了耻骨骨髓炎的多种表现形式，提醒医生在这类病例中及时进行治疗的必要性。
