Osteomyelitis of the pubic symphysis after spontaneous vaginal delivery.
Osteomyelitis ossis pubis is a painful disorder. It is rare following a normal vaginal delivery. In two cases, the diagnosis was verified by an ultrasound-guided needle aspiration postpartum. Both recovered after treatment with relevant antibiotics. The condition is easily misinterpreted as one of more common disorders like pelvic girdle pain, inflammation, diastasis or distortion of the pubic symphysis joint. If not recognised and treated, the condition can have severe consequences.
Department of Gynaecology and Obstetrics, Rigshospitalet, Copenhagen, Denmark. rikkedunk@msn.com
Rikke Arildsen
RA
Dunk
Jens
J
Langhoff-Roos
D000038:Abscess / Q000473:pathology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010019:Osteomyelitis / Q000188:drug therapy / Q000473:pathology*; D011631:Pubic Symphysis / Q000473:pathology*; D011644:Puerperal Disorders / Q000188:drug therapy / Q000473:pathology*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000473:pathology*; D013212:Staphylococcus epidermidis; D013290:Streptococcal Infections / Q000188:drug therapy / Q000473:pathology*; D018084:Ultrasonography, Interventional
D000900:Anti-Bacterial Agents