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The Journal of Bone and Joint Surgery (American) 86:1057-1060 (2004)
© 2004 The Journal of Bone and Joint Surgery, Inc.

Osteomyelitis of the Pubis After Strenuous Exercise

A Case Report and Review of the Literature

Amichay Meirovitz, MD1, Israel Gotsman, MD1, Menachem Lilling, MD1, Naama R. Bogot, MD1, Zvi Fridlender, MD1 and Dana G. Wolf, MD1

1 Departments of Medicine (A.M., I.G., and Z.F.), Orthopedics (M.L.), Radiology (N.R.B.), and Clinical Microbiology and Infectious Diseases (D.G.W.), Hadassah University Hospital, Hebrew University-Hadassah Medical School, P.O. Box 12000, Jerusalem, Israel 91120. E-mail address for A. Meirovitz: amichaym@med.umich.edu

Investigation performed at the Departments of Medicine, Orthopedics, Radiology, and Clinical Microbiology and Infectious Diseases, Hadassah University Hospital, Hebrew University-Hadassah Medical School, Jerusalem, Israel

The first 150 words of the full text of this article appear below.


   Introduction
 
Pubic osteomyelitis is a rare entity comprising 2% of all reported cases of hematogenous osteomyelitis1. Predisposing factors include a young age2, intravenous drug abuse3, and genitourinary surgery4. Another, less well-known predisposing factor is strenuous physical activity in athletes5-14. The pathogens are dependent on the predisposing conditions. The most common pathogen in athletes is Staphylococcus aureus. We describe the unique case of a patient with pubic osteomyelitis due to Staphylococcus epidermidis, which developed after strenuous physical activity, and we review the features of this entity. The patient was informed that data concerning the case would be submitted for publication.


   Case Report
 
A twenty-year-old male soldier was admitted to the Department of Internal Medicine with suprapubic pain, fever, and an erythematous rash on his chest, which had developed five days prior to admission. During the month before the onset of the disease, he had been engaged in strenuous . . . [Full Text of this Article]


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Osteoarticular infection of the symphysis pubis and sacroiliac joints in active young sportsmen
BMJ, December 7, 2009; 339(dec07_1): b5019 - b5019.
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