A Case Report of Osteomyelitis Pubis in a Hemodialysis Patient With Diabetes Mellitus

Osteomyelitis pubis is a rare form of osteomyelitis. Known risk factors are urogynecologic surgery, trauma caused by sport activities, pelvic malignancy and intravenous drug use. Immunocompromised patients, including hemodialysis patients, and those with diabetes are also susceptible to infection. P...

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Published inTherapeutic apheresis and dialysis Vol. 12; no. 5; pp. 409 - 412
Main Authors Dovas, Spiros, Liakopoulos, Vassilios, Simopoulou, Theodora, Giannopoulou, Myrto, Kanaki, Angeliki, Anifandis, Georgios, Stefanidis, Ioannis
Format Journal Article
LanguageEnglish
Published Melbourne, Australia Blackwell Publishing Asia 01.10.2008
Subjects
Adult
Anti-Bacterial Agents - therapeutic use
Bacteremia
Bacteremia - etiology
Bacteremia - microbiology
Bacteremia - therapy
Catheterization, Central Venous - adverse effects
Device Removal
Diabetes mellitus
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - diagnosis
Diabetic Nephropathies - complications
Diabetic Nephropathies - diagnosis
Diabetic Nephropathies - therapy
Female
Follow-Up Studies
Hemodialysis
Humans
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - diagnosis
Kidney Failure, Chronic - therapy
Osteomyelitis - etiology
Osteomyelitis - microbiology
Osteomyelitis - therapy
Osteomyelitis pubis
Pubic Bone
Renal Dialysis - adverse effects
Renal Dialysis - methods
Risk Assessment
Staphylococcal Infections - etiology
Staphylococcal Infections - therapy
Staphylococcus epidermidis - isolation & purification
Treatment Outcome
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Summary:Osteomyelitis pubis is a rare form of osteomyelitis. Known risk factors are urogynecologic surgery, trauma caused by sport activities, pelvic malignancy and intravenous drug use. Immunocompromised patients, including hemodialysis patients, and those with diabetes are also susceptible to infection. Particularly in the hemodialysis population, the use of intravenous catheters frequently results in bacteremia and metastatic infectious complications such as osteomyelitis. We describe the first case of osteomyelitis pubis in a woman on chronic maintenance hemodialysis with diabetes mellitus.
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ISSN:1744-9979
1744-9987
DOI:10.1111/j.1744-9987.2008.00619.x