Hip adductor muscle abscess complicating a case of septic arthritis of the symphysis pubis: A case report

Septic arthritis of the pubic symphysis is a rare cause of pubic and hip pain. The clinical diagnosis of pubic symphysis osteomyelitis is challenging due to the rarity of this condition and the nonspecific nature of its presentation, which often leads to long delays between symptom onset and diagnosis. Imaging modalities, especially MRI, play an important role in early case detection, which is essential for ensuring prompt treatment and better outcomes. The differential diagnosis may include septic hip arthritis and a broad spectrum of noninfectious causes of pubalgia. Long-course antibiotic therapy is invariably required and, in some cases, may preclude the need for surgical debridement. We present a case of a 65-year-old male patient with septic symphysitis, complicated by hip adductor muscle abscess, efficiently treated with intravenous antibiotic therapy.