Iliopsoas abscess in infants: A case report
0
Citation
7
Reference
10
Related Paper
Abstract:
Introduction. Iliopsoas abscess is a rare condition, which may be categorized as primary or secondary. Primary iliopsoas abscess is caused by lymphohematogenous spread of infectious agents from a distant site, unlike secondary iliopsoas abscess that is a result of direct spread of a nearby infectious or inflammatory process. The diagnosis and treatment of primary iliopsoas abscess are often prolonged, due to the rarity of the disease and the nonspecific signs and symptoms. Case Report. This study presents a case of a onemonth old infant with a left-sided iliopsoas abscess. The physical examination revealed a swelling with a pronounced vascular pattern in the area of the left groin. Laboratory findings showed leukocytosis and increased inflammatory markers. An abscess within the left hemiabdomen and inguinofemoral region was diagnosed by ultrasonography and computerized tomography. The main therapeutic approach included antibiotic therapy, as well as surgical drainage of the abscess. Staphylococcus aureus was isolated from a 100 ml sample of the drained abscess. The treatment outcome was good. Conclusion. Given the frequency of iliopsoas abscess in infants, which is far less common than other primary diseases, greater attention must be paid to symptoms and signs during clinical examination, along with the appropriate choice of diagnostic procedures. Timely diagnosis, as well as adequate treatment of iliopsoas muscle abscess, is imperative in order to prevent the development of complications, such as systemic inflammation and sepsis.Keywords:
Iliopsoas
Iliopsoas Muscle
Leukocytosis
This case highlights the importance of early diagnosis of iliopsoas abscess in patients with communication difficulties and appropriate treatment to prevent further complications.
Iliopsoas
Iliopsoas Muscle
Cite
Citations (1)
Introduction. Iliopsoas abscess is a rare condition, which may be categorized as primary or secondary. Primary iliopsoas abscess is caused by lymphohematogenous spread of infectious agents from a distant site, unlike secondary iliopsoas abscess that is a result of direct spread of a nearby infectious or inflammatory process. The diagnosis and treatment of primary iliopsoas abscess are often prolonged, due to the rarity of the disease and the nonspecific signs and symptoms. Case Report. This study presents a case of a onemonth old infant with a left-sided iliopsoas abscess. The physical examination revealed a swelling with a pronounced vascular pattern in the area of the left groin. Laboratory findings showed leukocytosis and increased inflammatory markers. An abscess within the left hemiabdomen and inguinofemoral region was diagnosed by ultrasonography and computerized tomography. The main therapeutic approach included antibiotic therapy, as well as surgical drainage of the abscess. Staphylococcus aureus was isolated from a 100 ml sample of the drained abscess. The treatment outcome was good. Conclusion. Given the frequency of iliopsoas abscess in infants, which is far less common than other primary diseases, greater attention must be paid to symptoms and signs during clinical examination, along with the appropriate choice of diagnostic procedures. Timely diagnosis, as well as adequate treatment of iliopsoas muscle abscess, is imperative in order to prevent the development of complications, such as systemic inflammation and sepsis.
Iliopsoas
Iliopsoas Muscle
Leukocytosis
Cite
Citations (0)
Iliopsoas abscess is a relatively uncommon but potentially life-threatening infection of extraperitoneal compartment. Iliopsoas abscess may be classified as primary or secondary. Primary abscess results from hematogenous spread of an infectious process from an occult source in the body. Trauma resulting in intramuscular hematoma formation can predispose to primary iliopsoas abscess formation. Iliopsoas abscess should be considered in patients presenting with lower back or hip pain and fever associated with trauma. Here, we describe two adolescent cases with iliopsoas abscess complicated by septic arthritis following trauma.
Iliopsoas
Iliopsoas Muscle
Occult
Cite
Citations (0)
We report a case of giant psoas abscess with aggressive extension outside the muscles of the iliopsoas component. A 57-year-old man was admitted to our hospital, presenting with right flank pain and severe general malaise. He had been diabetic, but no treatment had been performed for diabetes. Leukocytosis, positive CRP and hyperglycemia were noted, but he was nearly afebrile on admission. Computerized tomography revealed a large multilocular mass in the right retroperitoneal space involving the ipsilateral psoas muscle. The diagnosis was not apparent until the 12th hospital day, when moderate grade fever was noted and brownish purulent fluid was obtained by percutaneous puncture of the mass. Staphylococcus aureus was isolated on culture. Antibiotic chemotherapy was started, and ultrasound-guided percutaneous drainage was then performed under the diagnosis of psoas abscess. At that time, the abscess was aggressively extending from the iliopsoas component into the pelvic floor, involving the rectus muscle, the gluteal muscles and formation of subucutaneous lesions. At 46 days after drainage, surgical resection of the abscess with removal of the adjucent tissue was performed because of persistent discharge of pus and multiple residual lesions. The postoperative course was uneventful, and there has been no recurrence. Many cases of psoas abscess have been reported in the Japanese literature. Prompt drainage, either percutaneously or surgically are required. Surgical resection of the abscess, with not only opening the cavity but also removal of the adjacent tissue, may be recommended in some cases, especially those diffuse or multilocular lesions.
Iliopsoas
Iliopsoas Muscle
Cite
Citations (1)
<p><em>Psoas abscess is a rarely found abscess located in the iliopsoas compartment. It characterized by fever, back pain, and limitation of hip movements. Psoas abscess is hard to diagnose due to only 30% of classic symptoms and signs are found. In this study we discussed tuberculous psoas abscess in patient 26 years old male. Anamnesis, physical examination, and supporting medical tests were done to diagnose tuberculous psoas abscess. Therefore we performed abscess incision and drainage, followed by continuous tuberculous therapy.</em></p><p><strong>Keywords: tuberculous psoas abscess</strong></p><p> </p>
Iliopsoas
Anamnesis
Iliopsoas Muscle
Psoas Muscles
Cite
Citations (2)
An 87-year-old female was admitted to the hospital because of a mass with a pain on the left lumbar. On admission, the mass was measuring 15×10cm. The abdominal ultrasound and enhanced computed tomography (CT) showed a large low density area only around this in the left retroperitoneum and under the subcutaneous space. From these results, the patient was diagnosed as having the primary iliopsoas abscess and was operated on. With percutaneous drainage 600ml of non-smelling pus was sprang from the abscess. Any bacteria were not isolated in the pus. Recently, cases of iliopsoas abscess have been increasingly reported with the development of imaging methods. In 54 cases of iliopsoas abscess seen in the Japanese literature in a recent one decade, no case of giant iliopsoas abscess with subcutaneous abscess was included and our case is rare. It is etiologically thought that the onset of the disease in this case might stem from her advanced age, poor nutrition and its resultant proneness to infection. The usefullness of CT in the diagnosis, treatment, and follow-up of iliopsoas abscess is emphasized.
Iliopsoas
Iliopsoas Muscle
Subcutaneous abscess
Cite
Citations (0)
A psoas (or iliopsoas) abscess is an accumulation of pus in the region of iliopsoas muscle compartment. In regions where Mycobacterium tuberculosis is endemic, this is a frequent cause of psoas abscess. When an inguinal mass in a patient with a psoas abscess is painless, tuberculosis is a more likely cause than a bacterial infection. Here, the author report a rare case of psoas abscess of tubercular origin in a 31-year-old patient who presented with back pain and limping, with features of inflammation. Diagnosis was done based on history, physical examination, ultrasonography, microbiological investigation and Contrast-Enhanced Computed Tomography (CECT) scan of abdomen which revealed a large psoas abscess caused by M. tuberculosis. Patient was diagnosed with a psoas abscess due to Mycobacterium tuberculosis with secondary infection and treated empirically with Directly Observed Treatment Short-Course (DOTS) category I and antibiotics. He presented again with a chest abscess due to Multidrug-Resistant (MDR) tuberculosis.
Iliopsoas
Iliopsoas Muscle
Psoas Muscles
Cite
Citations (0)
Iliopsoas abscess is an uncommon but important and potentially life-threatening infection that is typically difficult to recognize. Even today, most of the literature on psoas abscess includes case reports and small case series with few institutions seeing more than one case of iliopsoas abscess in a year. Large review series have been published by Ricci et al. and more recently by De and Pal. Originally described by Abeille in 1854 as an abscess of the psoas muscle, the etiology of the disease has changed substantially in the Western world since Mycobacterium tuberculosis has decreased in frequency. The incidence of iliopsoas abscess has increased from 3.9 cases per year to more than 12 per year in 1995. At our institution, 1 to 4 cases of iliopsoas abscess are currently seen each year.
Iliopsoas
Iliopsoas Muscle
Etiology
Cite
Citations (1)
Iliopsoas abscess is rare in children and exceptional in the neonate. This report describes a case of idiopathic ilio-psoas abscess in a neonate with no etiologic factor known. The diagnosis was made by ultrasonography and computed axial tomography. The treatment was extraperitoneal surgical drainage and systemic antibiotics.
Iliopsoas
Iliopsoas Muscle
Antibiotic Therapy
Cite
Citations (13)
A psoas abscess is an accumulation of pus in the muscular compartment of the iliopsoas. It can originate from a primary or secondary source. Hematogenous or lymphatic seeding from a distant place causes primary iliopsoas abscess. This is frequently linked to a chronic immunocompromised status and is more common in young people. Secondary psoas abscess is caused by infection spreading directly from a nearby structure to the psoas muscle, and it can be caused by trauma or instrumentation in the inguinal region, lumbar spine region, and hip region. Occurrence of psoas abscess is uncommon, and its diagnosis is frequently delayed due to non-specific symptoms. We discuss a patient with chronic kidney disease (CKD) on conservative management who presented to us with complaints of swelling in the right lower back and fever and who was subsequently diagnosed with a right psoas abscess. Microbiology culture of the pus confirmed Escherichia coli (E. coli) as the etiologic agent, which is rare.
Iliopsoas Muscle
Iliopsoas
Psoas Muscles
Cite
Citations (0)