Osteomyelitis pubis versus osteitis pubis: a case presentation and review of the literature.
An athletic 23 year old man presented with suprapubic tenderness, fever, and raised inflammatory blood variables. A diagnostic laparoscopy was performed, with a presumed diagnosis of retrocaecal appendicitis, but no abnormalities were found, apart from free fluid in the pouch of Douglas. Imaging of the pubic area suggested bony infection and inflammation. Biopsy and culture confirmed the presence of Staphylococcus aureus, a very common pathogen. The final diagnosis was osteomyelitis pubis, an infectious disease, and osteitis pubis, an inflammatory disease.
Pauli
S
S
Department of Abdominal Surgery, University of Antwerp, Middelheim General Hospital, Antwerp, Belgium. paulisteven@hotmail.com
Willemsen
P
P
Declerck
K
K
Chappel
R
R
Vanderveken
M
M
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D003937:Diagnosis, Differential; D006801:Humans; D010535:Laparoscopy; D008297:Male; D010000:Osteitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D010019:Osteomyelitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D011630:Pubic Bone / Q000000981:diagnostic imaging; D011859:Radiography; D011877:Radionuclide Imaging; D013211:Staphylococcus aureus / Q000302:isolation & purification
D000900:Anti-Bacterial Agents