Aerococcus urinae infection of the pubic symphysis: A rare case report

Camille Langbour; Sara Mahmoud; François Coustillères; Marie-Frédérique Lartigue; Jessica René

doi:10.1016/j.idcr.2023.e01911

Aerococcus urinae infection of the pubic symphysis: A rare case report

IDCases. 2023 Oct 13:34:e01911. doi: 10.1016/j.idcr.2023.e01911. eCollection 2023.

Authors

Camille Langbour¹, Sara Mahmoud¹, François Coustillères², Marie-Frédérique Lartigue^{3

4}, Jessica René^{1

5}

Affiliations

¹ CHU Tours, Service Rhumatologie, 37170 Chambray-les-Tours, France.
² CHU Tours, Service Médecine Interne et Maladies Infectieuses, 37000 Tours, France.
³ CHU Tours, Service de Bactériologie-Virologie-Hygiène, F-37044 Tours, France.
⁴ ISP, UMR1282, Université de Tours, INRAE, F-37032 Tours, France.
⁵ Université François Rabelais de Tours, 37000 Tours, France.

Abstract

Aerococcus urinae is a Gram-positive, catalase-negative coccus, rarely responsible for urinary tract infections and seldom described for musculoskeletal infections like spondylodiscitis. An 86-year-old man presented to our hospital for groin pain without fever. Pelvic CT-guided biopsy revealed an A. urinae pubic symphysis osteomyelitis. He received a treatment by amoxicillin per os for six weeks, and did not need any surgery. An eight -month- follow-up showed a favorable evolution. Pubic symphysis infection can be induced by a wide variety of pathogens, and may have very different clinical presentations. Some authors recommend systematic surgery, but in case of susceptible pathogen associated with a low level of joint destruction, medical treatment alone should be sufficient to cure and make surgery unnecessary.

Keywords: Aerococcus urinae; Osteomyelitis; Pubic symphysitis; Septic arthritis.

Publication types

Case Reports