Pseudomonas osteomyelitis of the symphysis pubis after inguinal hernia repair

Clin Rheumatol. 1999;18(2):167-9. doi: 10.1007/s100670050078.


Osteitis pubis (OP) is a term used to describe an entity characterised by severe pelvic pain, a wide-based gait and bony destruction of the margins of the pubic symphysis. It is usually assumed that OP is a non-infectious, self-limiting, relatively benign condition. Infectious osteomyelitis of the symphysis pubis (IOSP) is very unusual and the clinical presentation can resemble OP. IOSP following inguinal hernia repair is extremely rare. A case of IOSP caused by Pseudomonas aeruginosa is described. We reiterate the assumption that IOSP can be misdiagnosed as OP.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Ciprofloxacin / therapeutic use
  • Diagnosis, Differential
  • Hernia, Inguinal / surgery*
  • Humans
  • Male
  • Osteitis / pathology
  • Osteomyelitis / diagnostic imaging
  • Osteomyelitis / drug therapy
  • Osteomyelitis / microbiology*
  • Postoperative Complications*
  • Pseudomonas Infections* / diagnostic imaging
  • Pseudomonas Infections* / drug therapy
  • Pseudomonas Infections* / etiology
  • Pubic Bone / diagnostic imaging
  • Pubic Bone / microbiology
  • Pubic Symphysis / diagnostic imaging
  • Pubic Symphysis / microbiology*
  • Tomography, X-Ray Computed


  • Ciprofloxacin