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Re: osteitis pubis unresolvedFrom: Patrick S. Pevoto (pspevoto@mail.utexas.edu)Wed Jul 31 13:26:31 1996
>we have a woman G4P4 who suffer of osteitis pubis 24 hours after delivery. >Pain, fever 40C , strepto gr G lochies and urines. >Tx ampi 1.5gr q 4h for 4 days and amoxicillin 500 tid for 10 days. > >on the 14 days of treatment temp 39C, pain of pubis . Lochia, urines and >blood normal. > >What can we do please !!! > >Dr Jean-Francois Rancourt >family physician >83 de la Fabrique >Montmagny, Quebec >Canada G5V 2J3 >jfranc@quebectel.com Dr. Rancourt: There was a recent article (I do not have it in front of me) re: injection of symphysis with 4mg. dexamethasone combined with 1cc. bupivacaine/1cc.lidocaine (i.e. total of 3cc.) twice if necessary. The article was a study done with a few athletes who had this, and with good results. I have a patient who has suffered from osteitis pubis for almost 2 years; prior MMK, who fell over side of bathtub and initiated the problem. I have given her 2 injections as above, with about 70% improvement so far for 3 months. Patrick
-- =============================================== Patrick S. Pevoto, M.D., FACOG Gynecology/Infertility Private Practice, Austin, TX Clinical Asst. Professor, College of Pharmacy The University of Texas at Austin "Hook 'em Horns!!!" ===============================================
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