Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges

We describe the case of a 14-year-old girl with relapsed pain following adequate treatment of pubic symphysis septic arthritis with adjacent osteomyelitis. Evaluation of her symptoms was challenging, because magnetic resonance imaging (MRI) was not helpful and repeat surgical exploration was not fav...

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Main Author: Shankar Upadhyayula
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2020/8819268
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author Shankar Upadhyayula
author_facet Shankar Upadhyayula
author_sort Shankar Upadhyayula
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description We describe the case of a 14-year-old girl with relapsed pain following adequate treatment of pubic symphysis septic arthritis with adjacent osteomyelitis. Evaluation of her symptoms was challenging, because magnetic resonance imaging (MRI) was not helpful and repeat surgical exploration was not favored. She was treated with a combination of prolonged antimicrobial therapy and local steroid injection. This case highlights the limitations of MRI as a follow-up study for evaluating symptom relapse of acute osteomyelitis.
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spelling doaj-art-64cf5c97a83441499c66dbafd24d38d52025-02-03T01:00:11ZengWileyCase Reports in Infectious Diseases2090-66252090-66332020-01-01202010.1155/2020/88192688819268Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic ChallengesShankar Upadhyayula0Division of Pediatric Infectious Diseases, Akron Childrens Hospital, Akron, OH, USAWe describe the case of a 14-year-old girl with relapsed pain following adequate treatment of pubic symphysis septic arthritis with adjacent osteomyelitis. Evaluation of her symptoms was challenging, because magnetic resonance imaging (MRI) was not helpful and repeat surgical exploration was not favored. She was treated with a combination of prolonged antimicrobial therapy and local steroid injection. This case highlights the limitations of MRI as a follow-up study for evaluating symptom relapse of acute osteomyelitis.http://dx.doi.org/10.1155/2020/8819268
spellingShingle Shankar Upadhyayula
Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges
Case Reports in Infectious Diseases
title Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges
title_full Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges
title_fullStr Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges
title_full_unstemmed Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges
title_short Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges
title_sort relapsed symptoms in a patient treated for pubic symphysis septic arthritis adjacent osteomyelitis diagnostic challenges
url http://dx.doi.org/10.1155/2020/8819268
work_keys_str_mv AT shankarupadhyayula relapsedsymptomsinapatienttreatedforpubicsymphysissepticarthritisadjacentosteomyelitisdiagnosticchallenges