CASE 19: Pubic Bone Erosions

Streptococcus pneumoniae septic pubic symphysis arthritis/osteomyelitis. Kidney transplant recipient with a prior history of prostate cancer who presented with severe pain when moving the lower extremities and walking. Initial evaluation showed erosive changes in the symphysis pubis (red arrows).

Streptococcus pneumoniae septic pubic symphysis arthritis/osteomyelitis. Kidney transplant recipient with a prior history of prostate cancer who presented with severe pain when moving the lower extremities and walking. Initial evaluation showed erosive changes in the symphysis pubis (red arrows).

MR images depicting erosive/resorptive changes on both sides of the pubic symphysis (red arrows) with bilateral decompression into collections (green arrows) located in the medial aspects of the adductor muscles. Note also the transplanted kidney (yellow arrow). Culture of the aspirated fluid grew Streptococcus pneumoniae.

MR images depicting erosive/resorptive changes on both sides of the pubic symphysis (red arrows) with bilateral decompression into collections (green arrows) located in the medial aspects of the adductor muscles. Note also the transplanted kidney (yellow arrow). Culture of the aspirated fluid grew Streptococcus pneumoniae.