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This case serves as a reminder to clinicians to have earlier consideration of pubic symphysis osteomyelitis in their differential diagnosis to reduce the risk of long-term complications associated with undertreatment.<\/jats:p>","DOI":"10.1136\/bcr-2021-244336","type":"journal-article","created":{"date-parts":[[2021,9,20]],"date-time":"2021-09-20T12:02:16Z","timestamp":1632139336000},"page":"e244336","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Pubic symphysis osteomyelitis with associated vesico-symphyseal fistula: a difficult diagnosis"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4601-171X","authenticated-orcid":false,"given":"Brendan","family":"Wechsler","sequence":"first","affiliation":[{"name":"Medical Student Affairs, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonah","family":"Devries","sequence":"additional","affiliation":[{"name":"Medical Student Affairs, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Yim","sequence":"additional","affiliation":[{"name":"Interventional Radiology, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,9,20]]},"reference":[{"key":"2025082707503465000_14.9.e244336.1","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1056\/NEJMra1213956","article-title":"Acute osteomyelitis in children","volume":"370","author":"Peltola","year":"2014","journal-title":"N Engl J Med Overseas Ed"},{"key":"2025082707503465000_14.9.e244336.2","article-title":"Relapsed symptoms in a patient treated for pubic symphysis septic Arthritis\/Adjacent osteomyelitis: diagnostic challenges","volume":"2020","author":"Upadhyayula","year":"2020","journal-title":"Case Rep Infect Dis"},{"key":"2025082707503465000_14.9.e244336.3","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2014.8.13401"},{"key":"2025082707503465000_14.9.e244336.4","first-page":"169","article-title":"Pubic bone osteomyelitis and pubosymphyseal urinary fistula: a poorly recognized complication in prostate cancer survivors","volume":"31","author":"Madden-Fuentes","year":"2017","journal-title":"Oncology"},{"key":"2025082707503465000_14.9.e244336.5","first-page":"156","article-title":"Osteitis pubis: a rare cause of suprapubic pain","volume":"19","author":"Gomella","year":"2017","journal-title":"Rev Urol"},{"key":"2025082707503465000_14.9.e244336.6","doi-asserted-by":"publisher","DOI":"10.1097\/01.md.0000091180.93122.1c"},{"key":"2025082707503465000_14.9.e244336.7","doi-asserted-by":"crossref","first-page":"65","DOI":"10.7812\/TPP\/06-119","article-title":"Presentation of osteitis and osteomyelitis pubis as acute abdominal pain","volume":"11","author":"Pham","year":"2007","journal-title":"Perm J"},{"key":"2025082707503465000_14.9.e244336.8","doi-asserted-by":"publisher","DOI":"10.21037\/qims.2016.04.01"},{"key":"2025082707503465000_14.9.e244336.9","doi-asserted-by":"crossref","first-page":"215","DOI":"10.11604\/pamj.2017.26.215.12204","article-title":"Septic arthritis of the pubis symphysis: clinical and therapeutic features","volume":"26","author":"Alaya","year":"2017","journal-title":"Pan Afr Med J"},{"key":"2025082707503465000_14.9.e244336.10","article-title":"Symphysis pubis osteomyelitis: an uncommon complication after robotic assisted radical prostatectomy\u2014case description with literature review","volume":"2018","author":"Degheili","year":"2018","journal-title":"Case Rep Urol"},{"key":"2025082707503465000_14.9.e244336.11","doi-asserted-by":"crossref","DOI":"10.3390\/pathogens9120999","article-title":"A rare paronychia with superinfection with prevotella bivia and staphylococcus haemolyticus: the importance of early microbiological diagnosis","volume":"9","author":"Grande-Del-Arco","year":"2020","journal-title":"Pathogens"},{"key":"2025082707503465000_14.9.e244336.12","unstructured":"Momodu II , Savaliya V . Osteomyelitis. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2021. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK532250\/"},{"key":"2025082707503465000_14.9.e244336.13","doi-asserted-by":"crossref","first-page":"253","DOI":"10.5489\/cuaj.1764","article-title":"Long-term complications in men who have early or late radiotherapy after radical prostatectomy","volume":"8","author":"Sowerby","year":"2014","journal-title":"Can Urol Assoc J"},{"key":"2025082707503465000_14.9.e244336.14","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.juro.2015.08.074","article-title":"Fistulation into the pubic symphysis after treatment of prostate cancer: an important and surgically correctable complication","volume":"195","author":"Bugeja","year":"2016","journal-title":"J Urol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:50:44Z","timestamp":1756306244000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":14,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9,20]]},"published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1136\/bcr-2021-244336"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244336","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}