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Osteomyelitis of the Pubis After Strenuous ExerciseA Case Report and Review of the Literature
Amichay Meirovitz, MD1; Israel Gotsman, MD1; Menachem Lilling, MD1; Naama R. Bogot, MD1; Zvi Fridlender, MD1; Dana G. Wolf, MD1
1 Departments of Medicine (A.M., I.G., and Z.F.), Orthopedics (M.L.), Radiology (N.R.B.), and Clinical Microbiology and Infectious Diseases (D.G.W.), Hadassah University Hospital, Hebrew University-Hadassah Medical School, P.O. Box 12000, Jerusalem, Israel 91120. E-mail address for A. Meirovitz: amichaym@med.umich.edu
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at the Departments of Medicine, Orthopedics, Radiology, and Clinical Microbiology and Infectious Diseases, Hadassah University Hospital, Hebrew University-Hadassah Medical School, Jerusalem, Israel

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2004 May 01;86(5):1057-1060
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Pubic osteomyelitis is a rare entity comprising 2% of all reported cases of hematogenous osteomyelitis1. Predisposing factors include a young age2, intravenous drug abuse3, and genitourinary surgery4. Another, less well-known predisposing factor is strenuous physical activity in athletes5-14. The pathogens are dependent on the predisposing conditions. The most common pathogen in athletes is Staphylococcus aureus. We describe the unique case of a patient with pubic osteomyelitis due to Staphylococcus epidermidis, which developed after strenuous physical activity, and we review the features of this entity. The patient was informed that data concerning the case would be submitted for publication.
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