Infectious Pubic Symphysitis: An Atypical Infection Not to Be Overlooked

sensitive to amoxicillin-clavulanic acid. Urinary cytobacteriological examination was sterile. Magnetic resonance imaging (MRI) revealed edema of the pubic symphysis and significant pelvic muscle infiltration with an intersymphyseal fluid collection extending to the hip joints. Joint fluid aspiration could not be performed due to the low volume. The diagnosis of infectious pubic symphysitis and septic hip arthritis was established. Targeted antibiotic therapy with amoxicillin-clavulanic acid (4 g/day) was initiated, leading to clinical improvement and a significant decrease in inflammatory markers. Although septic pubic arthritis is rare, it should be considered in cases of pubalgia with fever, particularly in postpartum settings where microbial seeding of the pubic symphysis may occur.