title: Symphysis pubis osteomyelitis with bilateral adductor muscles abscess.
abstract: Osteomyelitis of the pubis symphysis is a rare condition. There have been various reports in the literature of inflammation and osteomyelitis as well as septic arthritis of pubic symphysis. However, due to the fact that these conditions are rare and that the usual presenting symptoms are very nonspecific, osteomyelitis of the pubic symphysis is often misdiagnosed, thus delaying definitive treatment. We present a case that to our knowledge is the first case in literature of osteomyelitis of the pubic symphysis in a 17-year-old boy with juvenile idiopathic arthritis (JIA), which was initially misdiagnosed and progressed to bilateral adductor abscesses. A high suspicion of such condition should be considered in a JIA patient who presents with symphysis or thigh pain.
authors.affiliation: Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 1529 Cedar Avenue, Montreal, QC, Canada H3G 1A6 ; Department of Orthopedic Surgery, University of Dammam, Dammam 31451, Saudi Arabia.
authors.forename: Saad M
authors.initials: SM
authors.lastname: Alqahtani
authors.affiliation: Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 1529 Cedar Avenue, Montreal, QC, Canada H3G 1A6.
authors.forename: Fan
authors.identifier: 0000-0002-7673-0267
authors.initials: F
authors.lastname: Jiang
authors.affiliation: Imperial College London, London SW7 2AZ, UK.
authors.forename: Bardia
authors.identifier: 0000-0003-3696-1308
authors.initials: B
authors.lastname: Barimani
authors.affiliation: Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 1529 Cedar Avenue, Montreal, QC, Canada H3G 1A6.
authors.forename: Marie
authors.initials: M
authors.lastname: Gdalevitch