Pubic bacterial osteomyelitis in a soccer player: a diagnostic pitfall

Correspondence to Dr Takashi Matono; tmatonoh1@aih-net.com Description A teenage male, without a significant medical history, was admitted to our hospital with a 4-day history of fever, left lower abdominal, left leg and groin pain, and malaise. MRI findings showed a T1 low-signal intensity lesion and T2 high-signal intensity lesion in the left pubis and the blood culture yielded methicillin-sensitive Staphylococcus aureus. [...]clinicians should be aware of the infection, and a blood culture or bone biopsy is warranted to distinguish between osteomyelitis and osteitis pubis, particularly in athletes complaining of pelvic pain.9 Learning points It is imperative to distinguish between acute osteomyelitis and osteitis pubis, especially in athletes complaining of pelvic pain, with blood culture or bone biopsy.