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Revista Portuguesa de Ortopedia e Traumatologia
Print version ISSN 1646-2122
Abstract
PINHO, André et al. Osteomielite da sínfise púbica. Rev. Port. Ortop. Traum. [online]. 2012, vol.20, n.3, pp.341-345. ISSN 1646-2122.
Osteomyelitis of the symphysis pubis is a rare pathology. The diagnosis is often made at a late stage and not infrequently confused with other non infectious diseases. The authors present the clinical case of a man with fever, lower abdominal pain spreading to the left thigh diagnosed initially as Hidradenitis Suppurativa. The result of the persisting infection was a destruction of the symphysis pubis. Debridement was carried out with resection of articular platforms. After initial debridement there was a recurrence of the infection necessitating fasciotomies of anterior and medial compartments of the right thigh and revision of debridement of the symphysis. We must be alert to the possibility of the existence of an osteomyelitis of the symphysis in the event of persisting pain in the pre-pubic region. Early diagnosis and correct therapeutic procedure can control the disease effectively.
Keywords : Osteomyelites; synphises; dedridment.