Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
European Journal of Trauma and Emergency Surgery
Published in: European Journal of Trauma and Emergency Surgery 5/2010

01-10-2010 | Case Report

Putrid infectious pubic osteitis: case report and review of the literature on the differential diagnosis and treatment of infectious pubic osteitis and inflammatory pubic osteitis

Authors: A. H. Tiemann, C. Röhm, G. O. Hofmann

Published in: European Journal of Trauma and Emergency Surgery | Issue 5/2010

Login to get access

Abstract

Introduction

The differential diagnosis of osteolytic, destructive, and inflammatory processes around the symphysis, the os pubis, and the ramus ossis pubis includes infectious osteitis pubis, inflammatory osteitis pubis, posttraumatic benign pubic osteolyses in elderly women, and malignant neoplasia. Accurate diagnosis can be a challenge and requires a methodical approach and the use of a variety of diagnostic measures.

Materials

A case study of an 83-year-old female suffering from infectious pubis osteitis sheds light on the differential diagnosis of these conditions, particularly the distinction between infectious pubic osteitis and inflammatory pubis osteitis. In addition to the diagnostic indicators and methodologies, differential treatments are considered and a review of current literature on the topic is presented.
Literature
1.
McCarthy B, Dorfmann HD. Pubic osteolysis. Clin Orthop Relat Res. 1990;251:300–7.PubMed
2.
Michiels E, Knockaert DC, Vanneste SB. Infectious osteitis pubis. Netherlands J Med. 1990;36:297–300.
3.
Legueue MB, Rochet WL. Les cellulites prevesicales et pelviennes après certaines cystostomies ou perostatectomies sus-pubiennes. J Urol Med Chir. 1923;15:1.
4.
Beer E. Periostits of symphysis and descending rami of pubis following suprapubic operation. Int J Med Surg. 1924;237:224–5.
5.
Albertsen AM, Egund N, Jurik AG, Jacobsen E. Posttraumatic osteolysis of the pubic bone simulating malignancy. Acta Radiol. 1994;35(1):40–4.PubMed
6.
Ghezail M, Leroux JL, Chertok P, Blotman F. Pubic post-fracture osteolysis simulating a malignancy. Clin Exp Rheumatol. 1991;9(6):635–7.PubMed
7.
Groeneweg CE, Thurnbeer U. Spontane Osteomyelitis Pubis durch Pseudomonas aeruginosa. Schweiz Med Wochenschrift. 1993;123:1520–5.
8.
Kelikian H, Balikian G, Paradies L, Tchalian G. Osteomyelitis of the pubic junction following pelvic surgery. Quarterly Bulletin N.U.M.S. 1957; 218–24.
9.
Stern JA, Clemens JQ. Osteomyelitis of the pubis: a complication of a chronic indwelling. Catheter Urol. 2003;61(2):4621–2.
10.
Wheeler. Osteomyelitis of the Pubis: complication of a stamey utheropexy. J Urol 1994; 151:1638–40.
11.
Adam C, Graser A, Koch W, Trottmann M, Rohrmann K, Zaak D, et al. Symphysitis following transrectal biopsy of the prostate. Int J Urol. 2006;13:832–3.CrossRefPubMed
12.
Gamble K, Dardarian T, Finstein J, Fox E, Sehdev H, Randall T. Psteomyelitis of the pubic symphysis in pregnancy. Obstet Gynecol 2006;107(2) Suppl: 477–81.
13.
Blais RE, Cesani F, Ali S, Calhoun JH, Mader J. Blastomycotis osteomyelitis of the pelvis. Am Surg. 1997;5:414–6.
14.
Laroche F, Perrot S, Menkes CJ. Symphysite pubienne secondaire à und fistule. Hypothèse physiolopathologique. La Presse Médicale 1995;24, Nr. 20:939–40.
15.
Pauli S, Willemsen P, Declerck K, Chappel R, Venderveken M. Osteomyelitis pubis versus osteitis pubis: a case presentation and review of the literature. Br J Sports Med. 2002;36:71–3.CrossRefPubMed
16.
Burns JR, Gregory JG. Osteomyelitis of the pubic symphysis after urologic surgery. J Urol. 1977;118:803–5.PubMed
17.
Eskridge C, Longo S, Kwark J, Robichaux A, Begneaud W. Osteomyelitis pubis occurring after spontaneous vaginal delivery: a case presentation. J Perinatol. 1997;17:321–4.PubMed
18.
Sexton DJ, Heskestad I, Lambeth WR, Mc Callum R, Levin LS, Corey RG. Postoperative psteomyelitis misdiagnosed as osteitis pubis: report of four cases and review. Clin Infect Dis. 1993;17:695–700.PubMed
19.
20.
Rutherford A. Osteomyelitis of the symphysis pubis. NZ Med J. 1983;96:332–3.
21.
Gamble JG, Simmons SC, Freedman M. The symphysis pubis. Anatomic and pathologic considerations. Clin Orthop Relat Res. 1986;203:261–72.PubMed
22.
Maksymowych WP, Aaron SL, Russell AS. Treatment of refractory symphysitis pubis with intravenous pamidronate. J Rheumatol. 2001;28:2754–7.PubMed
23.
Casey D, Mirra J, Staple TW. Parasymphyseal insufficiency fractures of the pubis. AJR. 1984;42:581–6.
24.
Goergen TG, Resnick D, Riley RR. Post traumatic abnormalities of the pubic bone simulating malignancy. Radiology. 1978;126:85–7.PubMed
25.
Botton E, Saraux A, Malhaire JP, Mansourbakh T, Jousse S, Le Goff P, et al. Post-fracture osteolysis of the pubic bone simulating a malignancy: report of a case. Joint Bone Spine. 2004;71(3):230–3.CrossRefPubMed
26.
Blais RE, Cesani F, Ali S, Calhoun JH, Mader J. Blastomycotic osteomyelitis of the pelvis: a case report. Am Surg. 1997;63:414–6.PubMed
27.
Pollack M. Pseudomonas aeruginosa. In: Mandell GL, Douglas RG, Bennet JE (Hrsg): Principles of infectious diseases. 3 Aufl. Churchill Livingstone. New York. 1990;1673–92.
28.
Jenkins FT, Raff MJ, Florman LD, Day TG, Templeton WC 3rd. Pubic osteomyelitis due to anaerobic bacteria. Arch Int Med. 1984;144:842–3.CrossRef
29.
Iqbal A, McKenna D, Hayes R, O’Keeffe D. Osteomyelitis of the ischiopubic synchondrosis: imaging findings. Skeletal Radiol. 2004;33:176–80.CrossRefPubMed
30.
McMurty CT, Avioli LV. Osteitis pubis in an athlete. Calcif Tissue Int. 1986;38:76–81.CrossRef
31.
Brosmann J, Sartoris DJ, Resnick DL. Osseous and soft tissue infection of extraspinal sites. In: Stark DD, Wiliam G, Bradly WG, editors. Magnetic resonance imaging. 3rd ed. St Louis: Mosby; 1999. p. 1037–1056.
Metadata
Title
Putrid infectious pubic osteitis: case report and review of the literature on the differential diagnosis and treatment of infectious pubic osteitis and inflammatory pubic osteitis
Authors
A. H. Tiemann
C. Röhm
G. O. Hofmann
Publication date
01-10-2010
Publisher
Urban and Vogel
Published in
European Journal of Trauma and Emergency Surgery / Issue 5/2010
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-010-0012-2

Other articles of this Issue 5/2010

European Journal of Trauma and Emergency Surgery 5/2010 Go to the issue

Review Article

Operative stabilization of flail chest injuries: review of literature and fixation options

Original Article

Emergency decompressive craniectomy for trauma patients with Glasgow Coma Scale of 3 and bilateral fixed dilated pupils

Editorial

Special Issue on rib fixation

Original Article

Osteosynthesis of distal radius fractures with the Micronail®

Case Report

Simultaneous dislocation of the interphalangeal and metacarpophalangeal joints of the thumb

Case Report

Intestinal derotation in emergency surgery