To describe 5 cases of septic arthritis of the symphysis pubis.
To define typical clinical findings,
bacteriology and treatment of the entity based on our experience and compare our results with those obtained in the literature reviewed.
Methods and Materials
Retrospective review of the cases of septic arthritis diagnosed in a tertiary care hospital,
between July 2009 and June 2012. CASE 1: - 62-year-old male patient who presented at the emergency room with fever (38 ° C) for 3 hours of evolution,
and perineal and sacroiliac joint pain of 14 days duration.
- Antecedents: retropubic prostatic adenomectomy in June 2009 for BPH. - Laboratory data: leukocytosis and increased ESR and CRP levels. - Positive urine culture of Pseudomonas aeruginosa ,...
The data were collected in Table 1,
Table 2 and Table 3. Subsequently we performed a literature search and found an article with a review of 100 cases with arthritis of the symphysis pubis,
published 2003 by Ros JJ and Hu LT.
We compare the results of this study with those of our series,
and try to establish a limited differential diagnosis by imaging. Results: The epidemiology and clinical features are summarized in Table 1. The mean age of our patients was 61 years (range 45-64).
Two of our...
Septic arthritis or osteomyelitis of the pubis is the infection that involves the pubic symphysis.
It is a rare condition,
representing less than 1% of osteomyelitis and its true incidence is unknown.
approximately 200 cases have been reported in the literature.
It was first described in 1924 by Beer et al ,
as a postoperative complication of a prostatectomy. The largest series identified 100 cases.
In this review,
a high prevalence of osteomyelitis was present: it was seen in 97% of...
Septic arthritis of the pubic symphysis; review of 100 cases (Review). Medicine (Baltimore) 2003; 82: 340-5. 2.
Tuberculous osteomyelitis of the symphysis pubis. Can Med Assoc J 1911; 1: 881-2. 3.
Osteomyelitis pubis versus osteitis pubis: a case presentation and review of the literature. Br J Sports Med 2002; 36: 71-3. 4.
Osteitis or osteomyelitis of the pubis? A...