Osteomyelitis Pubis

CLINICAL FEATURES Osteomyelitis pubis is a rare complication of pelvic surgery that presents 6 to 8 weeks after surgery with pain and tenderness along the symphysis pubis, especially with ambulation. Osteomyelitis pubis results from direct or contiguous seeding of the periosteum from pelvic surgery. It has been seen in the past following certain types of bladder neck suspension. Patients have a low-grade fever, elevated sedimentation rate, and leukocytosis. Blood should be drawn for culture, since the results are sometimes positive.

DISPOSITION Patients should be admitted for parenteral antibiotics and possibly surgical debridement.

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