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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(02): 268-270
DOI: 10.1055/s-0040-1721843
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Septic Arthritis of the Pubic Symphysis in Adult: A Case Report[*]

Article in several languages: português | English
Pedro José Labronici 
1   Serviço de Ortopedia e Traumatologia, Hospital Santa Teresa, Petrópolis, RJ, Brasil
,
Augusto Khede Tavares 
2   Serviço de Ortopedia e Traumatologia, Hospital Santa Teresa, Petrópolis, RJ, Brasil
,
Luiz Henrique Penteado Silva 
3   Serviço de Trauma, Hospital do Trauma e Hospital Escola São Vicente de Paulo, Passo Fundo, RS, Brasil
,
Robinson Esteves Santos Pires 
4   Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil
,
Vincenzo Giordano 
5   Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro, Hospital Municipal Miguel Couto, Rio de Janeiro, RJ, Brasil
,
Fabrício Bolpato Loures 
6   Universidade Estadual do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
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Abstract

Septic arthritis of the pubic symphysis is a rare condition. Risk factors include trauma, low-grade infection, urological or gynecological procedures, malignant tumors of the pelvis, sports, and intravenous drug abuse. This report describes a case of septic arthritis of the pubic symphysis in a 23-year-old male patient with no history of pelvic surgery, previous infections, or intense physical activity. Arthritis was diagnosed by blood culture positive for Enterococcus spp. and yeasts, and the patient was treated with antibiotics. This case emphasizes the importance of complementary exams to aid the treatment of septic arthritis of the pubic symphysis and shows that an invasive procedure, such as pubic symphysis puncture biopsy, may not be required.

Keywords

septic arthritis - osteitis - pubic symphysis

* Study developed at the Orthopedics and Traumatology Department, Hospital Santa Teresa, Petrópolis, RJ, Brazil.




Publication History

Received: 21 May 2020

Accepted: 17 September 2020

Article published online:
22 March 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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