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Int Urogynecol J Pelvic Floor Dysfunct. 2007 Nov;18(11):1375-8. Epub 2007 Apr 3.

Actinomyces meyeri osteomyelitis of the symphysis pubis following pubovaginal sling.

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  • 1Division of Female Pelvic Medicine and Reconstructive Surgery, Mayo Clinic Arizona, 13400 East Shea Blvd., Scottsdale, AZ 85259, USA.


Previous reports of pubic osteomyelitis associated with bone anchors describe symptoms presenting 10 days to 12 months postoperatively with typical pathogens including Streptococcus, Staphylococcus, Citrobacter, and Pseudomonas (Fitzgerald et al., Int Urogynecol J 10:346-348, 1999 Enzler et al., J Bone Jt Surg Am 81-A(12):1736-1740, 1999; Graham and Dmochowski, J Urol 168:2055-2058, 2004; Fialkow et al., Urology 64(6):1127-1132, 2004; Matkov et al., J Urol 160(4):1427, 1998). This case illustrates the potential for protracted symptoms and delayed diagnosis of pubic osteomyelitis with the fastidious pathogen of Actinomyces meyeri.

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