گزارش يك مورد استئوميليت پوبيس به دنبال عمل جراحي فتق اينگوينال

Pubic Osteomylitis Following Inguinal Hernia Repair: A Case Report

ﺳﻤﻔﻴـﺰ ﭘﻮﺑﻴﺲ ﻳﻚ ﻣﺤﻞ ﻧﺎﺩﺭ ﺑﺮﺍﻱ ﺍﺳﺘﺌﻮﻣﻴﻠﻴـﺖ ﻣﻲ ﺑﺎﺷـﺪ، ﺑﻴﺸﺘـﺮ ﻣـﻮﺍﺭﺩ ﺑﻌـﺪ ﺍﺯ ﺿﺮﺑﻪ ﻳﺎ ﺍﻋﻤـﺎﻝ ﺟـﺮﺍﺣﻲ ﺍﺩﺭﺍﺭﻱ ـ ﺗﻨﺎﺳﻠﻲ ﺍﺗﻔﺎﻕ ﻣﻲ ﺍﻓﺘـﺪ. ﻣﺎ ﻳﻚ ﻣـﻮﺭﺩ ﺍﺳﺘﺌﻮﻣﻴﻠﻴﺖ ﭘﻮﺑﻴﺲ ﺭﺍ ﻧﻪ ﻣﺎﻩ ﺑﻌـﺪ ﺍﺯ ﻋﻤﻞ ﺟـﺮﺍﺣﻲ ﻓﺘـﻖ ﺍﻳﻨﮕـﻮﻳﻨﺎﻝ ﮔـﺰﺍﺭﺵ ﻛـﺮﺩﻳﻢ. ﺍﺳﺘﺎﻓﻴﻠﻮﻛﻮﻙ ﻣﻘـﺎﻭﻡ ﺑﻪ ﻫﻤﻪ ﺁﻧﺘﻲ ﺑﻴﻮﺗﻴـﻚ ﻫﺎ ﺑﺠـﺰ ﻭﺍﻧﻜـﻮﻣﺎﻳﺴﻴﻦ ﻋﺎﻣـﻞ ﺍﻳﺠـﺎﺩ ﻛﻨﻨﺪﻩ ﺑﻮﺩ. ﺩﺭﻣﺎﻥ ﻛﺎﻣﻞ ﺑﻴﻤـﺎﺭ ﺑﺎ ﺁﻧﺘﻲ ﺑﻴﻮﺗﻴـﻚ ﻫﺎ ﺑﺪﻭﻥ ﺩﺑـﺮﻳﺪﻣﺎﻥ ﺟﺮﺍﺣﻲ ﺍﻧﺠﺎﻡ ﺷﺪ. ﺍﻳﻦ ﻣﻘﺎﻟﻪ ﮔﺰﺍﺭﺵ ﻳﻚ ﻣﻮﺭﺩ ﺍﺳﺘﺌﻮﻣﻴﻠﻴﺖ ﭘﻮﺑﻴﺲ ﺑﻪ ﺩﻧﺒﺎﻝ ﻋﻤﻞ ﺟـﺮﺍﺣﻲ ﺗﺮﻣﻴـﻢ ﻓﺘﻖ ﺍﻳﻨﮕـﻮﻳﻨﺎﻝ ﻣﻲ ﺑﺎﺷﺪ.

The pubic symphysis is a rare site for osteomyelitis. We reported a case of osteomylitis pubic about 9 months after inguinal hernia repair. The causative organism is staphylococcus aureus resistant to all antibiotics except vancomycin. The patient was treated with antibiotics for six months without any surgical debridement. This is a report of a pubic osteomylitis following inguinal hernia repair.