恥骨結合部骨髄炎の1例

抄録

A sixteen-year-old male came to our clinic with complaints of high fever of 39°C, gait disturbance and pain at the symphysis. Blood examination revealed accelerated erythrocyte sedimentation rate, leucocytosis and abnormal CRP. Roentogenographic findings including bone scintigram and CT-scan showed destruction and absorption of the symphysis pubis. Arterial blood culture of the bacterial examination was negative but from the findings of above mentioned, osteomyelitis of the symphysis pubis was diagnosed. Surgical treatment of curettage was made on the seventeenth admission day. Group B streptococcus was cultured from curetted granulation tissue and patho-histological findings was osteomyelitis. Postoperative course was very good and at 5 months after operation there was no abnormal blood findings and no subjective symptoms. He returned to training of the baseball pitcher.