Community-Onset Extended-Spectrum Beta-Lactamase-Producing Escherichia coli Osteomyelitis of the Pubic Symphysis.
- Author:
Kyung Mok SOHN
1
;
Yeon Sook KIM
;
Shinhye CHEON
;
Hyeon JUNG
;
Sun Hoe KOO
;
Deuk Soo HWANG
Author Information
- Publication Type:Case Report
- Keywords: Osteomyelitis; Pubic symphysis; Escherichia coli; Beta-lactamases; Drug resistance
- MeSH: Bacteria; beta-Lactamases; Cardiac Catheterization; Cardiac Catheters; Drug Resistance; Escherichia; Escherichia coli; Gram-Negative Bacteria; Humans; Osteomyelitis; Parturition; Pseudomonas aeruginosa; Pubic Symphysis; Rare Diseases; Risk Factors; Staphylococcus aureus; Substance Abuse, Intravenous
- From:Infection and Chemotherapy 2011;43(3):279-283
- CountryRepublic of Korea
- Language:Korean
- Abstract: Osteomyelitis of the pubic symphysis or pubic osteomyelitis is a rare disease entity. Predisposing factors include trauma, pelvic or urologic surgery, intravenous drug abuse, pelvic malignancy, parturition and cardiac catheterization. Pathogens vary depending on the risk factors. The most frequent causative organism is Staphylococcus aureus . Gram-negative bacteria such as Pseudomonas aeruginosa and Escherichia coli are also common pathogens. However, pubic osteomyelitis due to community-onset extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli has not previously been described. We present a patient with pubic osteomyelitis caused by ESBL-producing Escherichia coli without known predisposing factors except for diabetes.