Actinomyces meyeri osteomyelitis of the symphysis pubis following pubovaginal sling.
Previous reports of pubic osteomyelitis associated with bone anchors describe symptoms presenting 10 days to 12 months postoperatively with typical pathogens including Streptococcus, Staphylococcus, Citrobacter, and Pseudomonas (Fitzgerald et al., Int Urogynecol J 10:346-348, 1999 Enzler et al., J Bone Jt Surg Am 81-A(12):1736-1740, 1999; Graham and Dmochowski, J Urol 168:2055-2058, 2004; Fialkow et al., Urology 64(6):1127-1132, 2004; Matkov et al., J Urol 160(4):1427, 1998). This case illustrates the potential for protracted symptoms and delayed diagnosis of pubic osteomyelitis with the fastidious pathogen of Actinomyces meyeri.
Long
Jaime B
JB
Division of Female Pelvic Medicine and Reconstructive Surgery, Mayo Clinic Arizona, 13400 East Shea Blvd., Scottsdale, AZ 85259, USA. Long.Jaime@mayo.edu
Collins
Joseph M
JM
Beauchamp
Christopher P
CP
Kho
Rosanne
R
Cornella
Jeffrey L
JL
D000190:Actinomyces / Q000502:physiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010019:Osteomyelitis / Q000382:microbiology* / Q000473:pathology*; D011631:Pubic Symphysis / Q000382:microbiology* / Q000473:pathology*; D053825:Suburethral Slings; D013530:Surgical Wound Infection / Q000382:microbiology / Q000473:pathology*