ReviewBMC infectious diseases2019
Osteomyelitis of the pubic symphysis caused by methicillin-resistant Staphylococcus aureus after vaginal delivery: a case report and literature review.
Review in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 35 citations in OpenAlex.
- Pubic osteomyelitis complicated by a rectus abdominis abscess and urethral fistula: a rare case report.BMC infectious diseases · 2026Article
- The Diagnosis and Management of Urosymphyseal Fistula with Pubic Osteomyelitis.Current urology reports · 2025Review
- Article
- Septic arthritis of the pubic symphysis, a rare cause of peripartum pelvic pain: A case report.Obstetric medicine · 2025Article
- Genome-wide mutagenesis identifies factors involved in MRSA vaginal colonization.Cell reports · 2025Article
- Treatment of pubic symphysis infection with vancomycin-loaded calcium sulfate artificial bone combined with debridement in pediatric patients: a case report and literature review.Frontiers in surgery · 2025Article
- Imaging of Sacroiliac Pain: The Current State-of-the-Art.Journal of personalized medicine · 2024Review
- Article
- Pubic symphysis osteomyelitis associated with costal osteitis caused bySAGE open medical case reports · 2024Article
- Postpartum pubic symphysis diastasis resulting in a prepubic abscess and osteomyelitis.BMJ case reports · 2023Article
- Postpartum septic arthritis of pubic symphysis due toNew microbes and new infections · 2023Article
- Pyogenic sacroiliitis caused by Salmonella schwarzengrund in a young healthy woman: a case report and literature review.International journal of emergency medicine · 2023Article
- Postpartum septic symphysitis, a rare condition with possible long-term consequences: a cohort study with long-term follow-up.BMC pregnancy and childbirth · 2021Article
- Surgical debridement of infected pubic symphysitis supports optimal outcome.Archives of orthopaedic and trauma surgery · 2021Article
- Peripartum Pubic Symphysis Diastasis-Practical Guidelines.Journal of clinical medicine · 2021Review
- Orthopedic management of pubic symphysis osteomyelitis: a case series.Journal of bone and joint infection · 2021Article
- Septic arthritis of the pubic symphysis in pregnancy.BMJ case reports · 2020Article
- Incremental Value of Three-Phase Bone Scintigraphy and Single-Photon Emission Computed Tomography-Computed Tomography in a Case of Postpartum PUO in the Wake of The Antibiotic-Resistance Era.Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, IndiaArticle
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOsteomyelitis of the pubic symphysis is a rare cause of pelvic pain after delivery, mainly caused by Staphylococcus aureus and Pseudomonas aeruginosa. The clinical context is the same as the more common diastasis of the pubic bone, but the presence of intense local pain in association with fever should prompt further clinical work-up based on blood chemistry, microbiology and diagnostic imaging. We report the first case of methicillin-resistant Staphylococcus aureus osteomyelitis of the pubic symphysis occuring after the delivery. CASE PRESENTATION: A 39-year-old woman developed pain over the pubic bone 12 h after the delivery. After 72 h fever rose and laboratory examination showed elevation of C-reactive protein and procalcitonin levels. Pelvic x-rays and magnetic resonance showed pubic diastasis, joint effusion, tiny irregularities of articular surfaces and, severe bone edema. The patient was started on broad spectrum intravenous (IV) antibiotics (piperacillin-tazobactam) and then replaced to IV vancomycin and oral levofloxacin based on antibiogram result. She was then discharged with oral antibiotic therapy and fully recovered.
conclusionsDue to the rarity of this disease, we compared our experience with the other cases of osteomyelitis of pubic symphysis occurring in peri-postpartum reported in the literature. The course of osteomyelitis was favourable in all patients, and only in one case an additional orthopedic procedure for symphysis fixation was necessary. Knowledge of this rare condition is important to enable prompt diagnosis and treatment.
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