Reumatizam, Vol. 66 No. 1, 2019.
Pregledni rad
https://doi.org/10.33004/reumatizam-66-1-4
Osteitis pubis and osteomyelitis pubisv in pregnancy – two case reports
Neven Tučkar
; Klinika za ženske bolesti i porodništvo, Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska
Ivka Djaković
; Klinika za ženske bolesti i porodništvo, Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska
Ida Marija Šola
; Klinika za ženske bolesti i porodništvo, Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska
Matej Mustapić
; Klinički zavod za dijagnostičku i intervencijsku radiologiju, Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska
Ozren Grgić
; Klinika za ženske bolesti i porodništvo, Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska
Vesna Košec
; Klinika za ženske bolesti i porodništvo, Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska
Sažetak
Pubic pain frequently accompanies uneventful pregnancies and is a common symptom in pregnancy. Still, in some cases, especially when it is associated with walking difficulties, persistent and/or severe pubic pain, and inflammation that can be confirmed by laboratory parameters, it should be taken with additional caution. Differential diagnosis
should include osteitis pubis, a non-bacterial, self-limited inflammation that leaves no permanent consequences, but also, more importantly, osteomyelitis of the pubic symphysis. This is a rare bacterial infection in pregnancy, important to be diagnosed in time and treated early and properly since it can leave serious long-term complications such as
fistulas that require prolonged treatment and sometimes even surgery. A multidisciplinary approach is mandatory to exclude all the other potential causes of pubic pain and make a timely diagnosis of osteomyelitis. We present two patients with pubic pain during pregnancy, with two different diagnoses and treatment options, and a favorable outcome that was the result of a multidisciplinary approach.
Ključne riječi
Pelvic pain – etiology; Osteitis – diagnosis, therapy; Osteomyelitis – diagnosis, therapy; Pregnancy complications, infectious – diagnosis, therapy; Pubic symphysis – pathology
Hrčak ID:
226242
URI
Datum izdavanja:
16.10.2019.
Posjeta: 1.545 *