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...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2021-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/6665938 |
| _version_ | 1798031631661924352 |
|---|---|
| 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. |
| first_indexed | 2024-04-11T19:59:33Z |
| format | Article |
| id | doaj.art-cea29a892e1440daa2d604dad33d5592 |
| institution | Directory Open Access Journal |
| issn | 2090-6749 2090-6757 |
| language | English |
| last_indexed | 2024-04-11T19:59:33Z |
| publishDate | 2021-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj.art-cea29a892e1440daa2d604dad33d55922022-12-22T04:05:41ZengHindawi LimitedCase 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 |
| work_keys_str_mv | AT aysharajeev acutepyogenicosteomyelitisofthepubicboneinapatientwithsystemiclupuserythematosusmimickingfractureofthepubicboneandperiprostheticjointinfectionofthehip AT jasonmavrotas acutepyogenicosteomyelitisofthepubicboneinapatientwithsystemiclupuserythematosusmimickingfractureofthepubicboneandperiprostheticjointinfectionofthehip AT sanjaytaribagil acutepyogenicosteomyelitisofthepubicboneinapatientwithsystemiclupuserythematosusmimickingfractureofthepubicboneandperiprostheticjointinfectionofthehip AT jonathanloughead acutepyogenicosteomyelitisofthepubicboneinapatientwithsystemiclupuserythematosusmimickingfractureofthepubicboneandperiprostheticjointinfectionofthehip |