Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 2 4 2016 09 18 58 58 Alireza Sadegpour Associated Professor of Orthopedics Surgery, Shohada Educational Hospital, Tabriz University of Medical Sciences, Tabriz, Iran Feridon Jamali General Surgeon, Shohada Educational Hospital, Tabriz University of Medical Sciences, Tabriz, Iran Mohammadreza Moharrami Associated Professor of Orthopedics Surgery, Shohada Educational Hospital, Tabriz University of Medical Sciences, Tabriz, Iran Ali Tabrizi Assistant Professor of Orthopedics Surgery Department, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran 2019 07 18 Introduction: Pubis osteomyelitis is a rare bone infection disease. The clinical manifestations of this disease are highly misleading. The symptoms are non-specific and the patients feel pain in their pelvis and have difficulties in walking. The risk factors for this disease are pelvic and urological surgeries. Case Presentation: In this report, a 40-year-old female with suprapubic fistula secretion 6 months after reconstructive surgery for bladder prolapse was introduced. In fistulectomy surgery, pelvic pubis osteomyelitis was identified and treated by curettage and debridement. In microorganism culture of the samples, Staphylococcus epidermidis was the result, which was resistant to methicillin. Conclusions: Antibiotic treatment is not enough for pubic osteomyelitis. Curettage and jet lavage surgeries are suggested. Closing the possible route by the urogenital tract is of great importance in controlling the disease. https://jost.tums.ac.ir/index.php/jost/article/view/58 https://jost.tums.ac.ir/index.php/jost/article/download/58/58