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Multiple fractures of the symphysis pubis due to tuberculous osteomyelitis.

Osteoarticular tuberculosis, the most common site being the spine, accounts for approximately 2-3% of cases of tuberculosis (Moon et al, 1990). The diagnosis of tuberculosis of the symphysis pubis is difficult and rarely made. The differential diagnosis for pubic pain is broad and there are many difficulties in isolating and culturing Mycobacterium tuberculosis from this site. We present a case of tuberculous osteomyelitis of the pubic symphysis followed by a review of the literature.