Osteomyelitis of the Pubic Symphysis After Urologic Surgery

Abstract

Osteomyelitis represents a pyogenic infection of the bone and marrow. The diagnosis is based on specific criteria and often is difficult to make. Two [human] cases initially thought to represent osteitis pubis but subsequently proved to be [bacterial] osteomyelitis are presented. The 2 entities are compared with emphasis on differential diagnosis and treatment. Despite certain differentiating characteristics the correct diagnosis is often uncertain without histologic examination. Since treatment of these 2 entities is quite different, equivocal cases should undergo surgical exploration and bone curettage. This procedure will enable definite diagnosis to be made and proper treatment to be instituted.