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The Journal of Bone and Joint Surgery (American) 84:441-444 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.

Case Report

Pseudomonas aeruginosa Osteomyelitis of Both Ischia

A Case Report

Jean-Marie Berthelot, MD, Stephane Varin, MD, Florence Caillon, MD, Alain Prost, MD and Yves Maugars, MD

Investigation performed at Universitaire de Nantes, Hôtel-Dieu, Nantes, France

Jean-Marie Berthelot, MD
Stephane Varin, MD
Florence Caillon, MD
Alain Prost, MD
Yves Maugars, MD
Rheumatology Unit, Universitaire de Nantes, Hôtel-Dieu, CHU Nantes, 44093, Nantes CEDEX 01, France. E-mail address for J.-M. Berthelot: jeanmarie.berthelot@chu-nantes.fr

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.


   Introduction
 
Osteomyelitis of the ischium is a very rare event; it usually occurs unilaterally and often is caused by tuberculosis1,2. To our knowledge, osteomyelitis of both ischia after a urological procedure has not been reported previously. In the case described here, Pseudomonas aeruginosa was identified by biopsy of one of the two ischial bones seven months after radical surgery of the bladder.


   Case Report
 
Apreviously healthy fifty-six-year-old man underwent removal of the prostate and bladder, together with lymphadenectomy of the ilio-obturator lymph nodes, in September 1998, for the treatment of grade-III bladder cancer3. The lymph nodes were free of metastasis. The bladder was replaced by an ileal graft4. The findings on postoperative follow-up were normal, except for a transient infection of the urinary tract with Pseudomonas aeruginosa, which was diagnosed six days after surgery on the basis of urine culture. Antibiotic therapy was administered for ten days with use of . . . [Full Text of this Article]


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