Acute Pyogenic Osteomyelitis of the Pubic Bone in a Patient with Systemic Lupus Erythematosus Mimicking Fracture of the Pubic Bone and Periprosthetic Joint Infection of the Hip

Introduction. Pubic bone osteomyelitis is atypical, and the diagnosis is often overlooked. It may present as osteitis pubis, fracture, or noninfectious inflammation of the pubic symphysis. Case Report. We report a case of a 65-year-old lady who has systemic lupus erythematosus with acute pyogenic os...

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Main Authors: Aysha Rajeev, Jason Mavrotas, Sanjay Taribagil, Jonathan Loughead
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2021/6665938
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author Aysha Rajeev
Jason Mavrotas
Sanjay Taribagil
Jonathan Loughead
author_facet Aysha Rajeev
Jason Mavrotas
Sanjay Taribagil
Jonathan Loughead
author_sort Aysha Rajeev
collection DOAJ
description Introduction. Pubic bone osteomyelitis is atypical, and the diagnosis is often overlooked. It may present as osteitis pubis, fracture, or noninfectious inflammation of the pubic symphysis. Case Report. We report a case of a 65-year-old lady who has systemic lupus erythematosus with acute pyogenic osteomyelitis of the pubic bone who presented initially with a suspicious healing pubic rami fracture and periprosthetic infection of the hip joint. Conclusion. Acute osteomyelitis of the pubic bone has often an infrequent and delayed presentation. Clinical awareness, early diagnosis, and appropriate treatment including surgical debridement and long-term antibiotics can prevent ongoing morbidities such as chronic osteomyelitis, pain, and deformities of pelvic bone and joints.
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spelling doaj-art-cea29a892e1440daa2d604dad33d55922025-08-20T02:19:29ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/66659386665938Acute Pyogenic Osteomyelitis of the Pubic Bone in a Patient with Systemic Lupus Erythematosus Mimicking Fracture of the Pubic Bone and Periprosthetic Joint Infection of the HipAysha Rajeev0Jason Mavrotas1Sanjay Taribagil2Jonathan Loughead3Queen Elizabeth Hospital, Gateshead Health Foundation NHS Trust, Sheriff Hill, Gateshead NE9 6SX, UKQueen Elizabeth Hospital, Gateshead Health Foundation NHS Trust, Sheriff Hill, Gateshead NE9 6SX, UKQueen Elizabeth Hospital, Gateshead Health Foundation NHS Trust, Sheriff Hill, Gateshead NE9 6SX, UKQueen Elizabeth Hospital, Gateshead Health Foundation NHS Trust, Sheriff Hill, Gateshead NE9 6SX, UKIntroduction. Pubic bone osteomyelitis is atypical, and the diagnosis is often overlooked. It may present as osteitis pubis, fracture, or noninfectious inflammation of the pubic symphysis. Case Report. We report a case of a 65-year-old lady who has systemic lupus erythematosus with acute pyogenic osteomyelitis of the pubic bone who presented initially with a suspicious healing pubic rami fracture and periprosthetic infection of the hip joint. Conclusion. Acute osteomyelitis of the pubic bone has often an infrequent and delayed presentation. Clinical awareness, early diagnosis, and appropriate treatment including surgical debridement and long-term antibiotics can prevent ongoing morbidities such as chronic osteomyelitis, pain, and deformities of pelvic bone and joints.http://dx.doi.org/10.1155/2021/6665938
spellingShingle Aysha Rajeev
Jason Mavrotas
Sanjay Taribagil
Jonathan Loughead
Acute Pyogenic Osteomyelitis of the Pubic Bone in a Patient with Systemic Lupus Erythematosus Mimicking Fracture of the Pubic Bone and Periprosthetic Joint Infection of the Hip
Case Reports in Orthopedics
title Acute Pyogenic Osteomyelitis of the Pubic Bone in a Patient with Systemic Lupus Erythematosus Mimicking Fracture of the Pubic Bone and Periprosthetic Joint Infection of the Hip
title_full Acute Pyogenic Osteomyelitis of the Pubic Bone in a Patient with Systemic Lupus Erythematosus Mimicking Fracture of the Pubic Bone and Periprosthetic Joint Infection of the Hip
title_fullStr Acute Pyogenic Osteomyelitis of the Pubic Bone in a Patient with Systemic Lupus Erythematosus Mimicking Fracture of the Pubic Bone and Periprosthetic Joint Infection of the Hip
title_full_unstemmed Acute Pyogenic Osteomyelitis of the Pubic Bone in a Patient with Systemic Lupus Erythematosus Mimicking Fracture of the Pubic Bone and Periprosthetic Joint Infection of the Hip
title_short Acute Pyogenic Osteomyelitis of the Pubic Bone in a Patient with Systemic Lupus Erythematosus Mimicking Fracture of the Pubic Bone and Periprosthetic Joint Infection of the Hip
title_sort acute pyogenic osteomyelitis of the pubic bone in a patient with systemic lupus erythematosus mimicking fracture of the pubic bone and periprosthetic joint infection of the hip
url http://dx.doi.org/10.1155/2021/6665938
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