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Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges
We describe the case of a 14-year-old girl with relapsed pain following adequate treatment of pubic symphysis septic arthritis with adjacent osteomyelitis. Evaluation of her symptoms was challenging, because magnetic resonance imaging (MRI) was not helpful and repeat surgical exploration was not fav...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Hindawi
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7714587/ https://www.ncbi.nlm.nih.gov/pubmed/33294238 http://dx.doi.org/10.1155/2020/8819268 |
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author | Upadhyayula, Shankar |
author_facet | Upadhyayula, Shankar |
author_sort | Upadhyayula, Shankar |
collection | PubMed |
description | We describe the case of a 14-year-old girl with relapsed pain following adequate treatment of pubic symphysis septic arthritis with adjacent osteomyelitis. Evaluation of her symptoms was challenging, because magnetic resonance imaging (MRI) was not helpful and repeat surgical exploration was not favored. She was treated with a combination of prolonged antimicrobial therapy and local steroid injection. This case highlights the limitations of MRI as a follow-up study for evaluating symptom relapse of acute osteomyelitis. |
format | Online Article Text |
id | pubmed-7714587 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-77145872020-12-07 Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges Upadhyayula, Shankar Case Rep Infect Dis Case Report We describe the case of a 14-year-old girl with relapsed pain following adequate treatment of pubic symphysis septic arthritis with adjacent osteomyelitis. Evaluation of her symptoms was challenging, because magnetic resonance imaging (MRI) was not helpful and repeat surgical exploration was not favored. She was treated with a combination of prolonged antimicrobial therapy and local steroid injection. This case highlights the limitations of MRI as a follow-up study for evaluating symptom relapse of acute osteomyelitis. Hindawi 2020-11-26 /pmc/articles/PMC7714587/ /pubmed/33294238 http://dx.doi.org/10.1155/2020/8819268 Text en Copyright © 2020 Shankar Upadhyayula. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Upadhyayula, Shankar Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges |
title | Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges |
title_full | Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges |
title_fullStr | Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges |
title_full_unstemmed | Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges |
title_short | Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges |
title_sort | relapsed symptoms in a patient treated for pubic symphysis septic arthritis/adjacent osteomyelitis: diagnostic challenges |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7714587/ https://www.ncbi.nlm.nih.gov/pubmed/33294238 http://dx.doi.org/10.1155/2020/8819268 |
work_keys_str_mv | AT upadhyayulashankar relapsedsymptomsinapatienttreatedforpubicsymphysissepticarthritisadjacentosteomyelitisdiagnosticchallenges |