Specific antibiotic therapy by needle-aspiration for the treatment of osteomyelitis of the pubis. A description of two clinical cases.
The authors describe two cases of osteomyelitis of the pubis, that exemplify the difficulty of differential diagnosis, as symptoms at the onset are "masked" by previous urologic pathologies (aspecific acute epididymitis and, respectively, urethritis cystica in the sequelae of radical prostatectomy). The x-ray findings for osteolysis make a local biopsy necessary; the lesion may in fact, be mistaken for a neoplasm, particularly in patients who have previously been submitted to pelvic visceral surgery for the treatment of tumor. The needle-aspiration procedure and the execution of a cultural examination, in addition to a cytological one, provide unmistakeable data for diagnosis and treatment.
Corezzola
R
R
Divisione di Ortopedia e Traumatologia, O.C. Umberto I, Mestre (VE).
Guerra
A
A
D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology; D011630:Pubic Bone / Q000000981:diagnostic imaging; D011631:Pubic Symphysis / Q000000981:diagnostic imaging; D011859:Radiography
D000900:Anti-Bacterial Agents