{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T19:58:59Z","timestamp":1760385539058,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,3,9]]},"abstract":"<jats:p>New antibiotic options are needed for the treatment of multidrug-resistant (MDR) <jats:italic>Pseudomonas<\/jats:italic> infections. We present a case of a man aged 64 years with a bladder fistula due to radiation, ultimately causing osteomyelitis of the pubic symphysis. Repeated antibiotic courses, without correcting the fistula, resulted in infection with MDR <jats:italic>Pseudomonas aeruginosa.<\/jats:italic> He was successfully treated for his osteomyelitis through cystectomy, aggressive debridement and a prolonged course of antimicrobials directed at the MDR <jats:italic>Pseudomonas<\/jats:italic> isolate.<\/jats:p>","DOI":"10.1136\/bcr-2016-217005","type":"journal-article","created":{"date-parts":[[2017,3,31]],"date-time":"2017-03-31T07:01:32Z","timestamp":1490943692000},"page":"bcr2016217005","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Successful treatment of multidrug-resistant <i>Pseudomonas aeruginosa<\/i> pubic symphysis osteomyelitis with ceftolozane\/tazobactam"],"prefix":"10.1136","volume":"2017","author":[{"given":"Kari E","family":"Kurtzhalts","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases, VA Western New York Healthcare System, Buffalo VA Medical Center, Buffalo, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kari A","family":"Mergenhagen","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, VA Western New York Healthcare System, Buffalo VA Medical Center, Buffalo, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akshay","family":"Manohar","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, VA Western New York Healthcare System, Buffalo VA Medical Center, Buffalo, New York, USA"},{"name":"State University of New York at Buffalo, Jacob's School of Medicine and Biomedical Sciences, Buffalo, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles S","family":"Berenson","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, VA Western New York Healthcare System, Buffalo VA Medical Center, Buffalo, New York, USA"},{"name":"State University of New York at Buffalo, Jacob's School of Medicine and Biomedical Sciences, Buffalo, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,3,31]]},"reference":[{"key":"2025082706480466000_2017.mar31_1.bcr2016217005.1","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1016\/j.urology.2014.11.020","article-title":"Pubic symphysis osteomyelitis in the prostate cancer survivor: clinical presentation, evaluation, and management","volume":"85","author":"Gupta","year":"2015","journal-title":"Urology"},{"key":"2025082706480466000_2017.mar31_1.bcr2016217005.2","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1159\/000356268","article-title":"Pubic bone osteomyelitis after salvage high-intensity focused ultrasound for prostate cancer","volume":"7","author":"Robison","year":"2013","journal-title":"Curr Urol"},{"key":"2025082706480466000_2017.mar31_1.bcr2016217005.3","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/j.urology.2012.10.037","article-title":"A 57-year-old man with a history of prostatectomy and pelvic irradiation presents with recurrent urinary tract infections, hematuria, and pelvic pain","volume":"81","author":"Moore","year":"2013","journal-title":"Urology"},{"key":"2025082706480466000_2017.mar31_1.bcr2016217005.4","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.urology.2012.04.036","article-title":"Pubovesical fistula: a rare complication after treatment of prostate cancer","volume":"80","author":"Matsushita","year":"2010","journal-title":"Urology"},{"key":"2025082706480466000_2017.mar31_1.bcr2016217005.5","doi-asserted-by":"crossref","first-page":"19","DOI":"10.6004\/jnccn.2016.0004","article-title":"Prostate cancer, version 1.2016","volume":"14","author":"Mohler","year":"2016","journal-title":"J Natl Compr Canc Netw"},{"key":"2025082706480466000_2017.mar31_1.bcr2016217005.6","unstructured":"Frieden T . 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