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Case Reports in Orthopedics
Volume 2017, Article ID 5961917, 4 pages
https://doi.org/10.1155/2017/5961917
Case Report

Candida albicans Osteomyelitis Pubis: The Possible Pathogenic Role of Pelvic Irradiation

1Department of General Surgery, University Hospital of Trieste, “Ospedale di Cattinara”, Strada di Fiume 447, 34149 Trieste, Italy
2Infectious Diseases Unit, University Hospital of Trieste, “Ospedale Maggiore”, Piazza dell’Ospitale 2, 34125 Trieste, Italy

Correspondence should be addressed to Cristiana Iacuzzo; ti.liamtoh@iscirc

Received 1 June 2017; Revised 16 September 2017; Accepted 12 October 2017; Published 3 December 2017

Academic Editor: Johannes Mayr

Copyright © 2017 Cristiana Iacuzzo and Monticelli. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Radiation to the pelvis, mainly directed against either prostatic or gynecologic cancers, is burdened by a lot of complications. The genitourinary tract is most frequently involved, presenting with bladder irritation, incontinence, and fertility disorders. However, side effects of radiation can also affect the bone, usually causing an osteolytic process which deteriorates the bone structure and leads to fractures, avascular necrosis, and other pathological insults. Here, we describe a case of Candida albicans osteomyelitis of the pubic symphysis as late complication of pelvic radiotherapy performed against prostate cancer.