Open AccessUnusual underlying cause of recurrent vulval abscess
Author(s) -
Debarati Dutta,
Wael Agur,
Calum Macleod
Publication year - 2010
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.08.2009.2142
Subject(s) - medicine , surgery , clindamycin , abscess , osteomyelitis , orthopedic surgery , pubic symphysis , intravenous antibiotics , incision and drainage , outpatient clinic , antibiotics , pelvis , biology , microbiology and biotechnology
An ex-intravenous drug user was admitted four times during a 2 year period from December 2006, with the same complaint of vulval abscess which required repeat incision and drainage procedures. In January 2009, a pelvic x-ray showed widening of the symphysis pubis, marginal irregularities, and severe erosive changes which were consistent with pubic osteomyelitis. She was treated with intravenous ciprofloxacin and clindamycin for 2 weeks and was discharged on oral antibiotics for 6 weeks. She recovered well and her condition has significantly improved with no recurrent infection so far. She is now being followed up every 4-6 weeks at the orthopaedics outpatient clinic.