Recurrent pubic osteomyelitis secondary to vulvar abscess in a post-menopausal female

Abstract

We present the case of a 58-year-old gravida 2, para 2 post-menopausal female who presented with a vulvar abscess which later progressed to osteomyelitis of the pubic symphysis. Osteomyelitis of pubic symphysis secondary to vulvar abscess is a rare complication, however, can be associated with significant morbidity. Although rare, most documented cases in obstetrics and gynecology occur after vaginal delivery in the post-partum period. High degree of comorbidities in affected patients, as well as the limited anatomy of the pelvic bones, makes treatment of pubic osteomyelitis challenging. Prompt diagnosis and treatment is recommended to decrease patient morbidity and mortality, and oftentimes requires prolonged periods of treatment by multidisciplinary teams.