Arthrites septiques spontanées à streptocoques de la symphyse pubienne

Autor: Felix Ackermann, P. Charles, Anne-Marie Piette, Jean-Emmanuel Kahn, C. Brousse, Olivier Bletry
Rok vydání: 2011
Předmět:
Zdroj: La Revue de Médecine Interne. 32:e88-e90
ISSN: 0248-8663
Popis: Septic arthritis of the pubic symphysis is uncommon, and usually occurs in patients with predisposing conditions (female incontinence surgery, sports). Staphylococcus aureus and Pseudomonas aeruginosa are the main bacteria responsible of these infections. Streptococcal infections of the pubic symphysis are uncommon. We report three cases of streptococcal infections of the pubic symphysis that occurred in the absence of predisposing condition such as surgery or endocarditis. The diagnosis of septic arthritis was difficult, particularly in one patient who underwent an orchidopexy for a suspected of spermatic cord torsion before diagnosis was corrected. All three patients had a favourable outcome after an antibiotic treatment combining amoxicillin and rifampicin. Septic arthritis of the pubic symphysis should be suspected in patients with sudden groin pain, pubic tenderness and fever to avoid traumatic treatments and useless investigations.
Databáze: OpenAIRE