{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T09:57:45Z","timestamp":1789466265726,"version":"build-2803163510"},"reference-count":19,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,10,18]]},"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>Septic arthritis of the pubic symphysis is a rare but serious entity which can be difficult to distinguish from common pregnancy-related problems. The following highlights the risk factors and clinical features of this uncommon condition and describes its diagnosis and management. The patient is a 26-year-old gravida 2 para 1 (second pregnancy that lasted &gt;20 weeks and one prior term delivery) who presented to the labour and delivery triage unit of a tertiary care centre at 23 weeks\u2019 gestation with pelvis and hip pain. The patient had elevated inflammatory markers and <jats:italic>Staphylococcal<\/jats:italic> bacteraemia. MRI demonstrated pubic symphyseal septic arthritis and osteomyelitis. The patient underwent two fluoroscopy-guided joint aspirations; synovial fluid contained abundant neutrophils and grew colonies of methicillin-susceptible <jats:italic>Staphylococcus aureus<\/jats:italic>. She then completed 6\u2009weeks of intravenous antibiotic therapy. Repeat MRI of the pelvis at 31 weeks\u2019 gestation was favourable. The patient underwent caesarean delivery at 39 weeks\u2019 gestation without complication. Pelvic pain is common in pregnancy. However, abnormal musculoskeletal exam findings, historical elements and elevated inflammatory markers may suggest septic arthritis or osteomyelitis of the pubic symphysis. Accurate microbial identification, aggressive source control and multidisciplinary treatment are essential to optimal maternal and pregnancy outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2020-236470","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T16:05:14Z","timestamp":1604333114000},"page":"e236470","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Septic arthritis of the pubic symphysis in pregnancy"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9648-9864","authenticated-orcid":false,"given":"Glenn Patrick","family":"Boyles","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maged M","family":"Costantine","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,11,2]]},"reference":[{"key":"2025082701204877000_13.11.e236470.1","doi-asserted-by":"publisher","DOI":"10.1097\/01.md.0000091180.93122.1c"},{"key":"2025082701204877000_13.11.e236470.2","doi-asserted-by":"crossref","DOI":"10.1186\/s12879-019-4595-x","article-title":"Osteomyelitis of the pubic symphysis caused by methicillin-resistant Staphylococcus aureus after vaginal delivery: a case report and literature review","volume":"19","author":"Cosma","year":"2019","journal-title":"BMC Infect Dis"},{"key":"2025082701204877000_13.11.e236470.3","doi-asserted-by":"crossref","unstructured":"Ikpeme IA , Udoh J , Nya A , et al . 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