Psoas (or iliopsoas) abscess is a collection of pus in the iliopsoas muscle compartment [1]. It may arise via contiguous spread from adjacent. Introducción y objetivos. Aportar a la literatura un nuevo caso de absceso primario de Psoas, con afectación también del Cuadrado Lumbar. Absceso del psoas como causa de dolor lumbar detectado mediante gammagrafía con galio en un paciente con sospecha de espondilodiscitisPsoas abscess.

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A white, female patient, 65 years old, was admitted to the hospital with a day history of pain, hyperemia, and bullae in the lower limbs. Two patients were admitted to the Intensive Care Unit and ultimately died.

A CT scan showed a aabsceso muscle abscess, and the patient was treated with the closed drainage of the abscess and ciprofloxacin mg.

The absence of epidural infection is possible sbsceso the epidural catheter migrates out of the intervertebral foramen and in the presence of contamination of the anesthetic solution 9. Other symptoms include nausea, malaise, and weight loss. You can change the settings or obtain more information by clicking here. The Impact Factor measures the average number of citations received in a particular year by papers published abdceso the journal during the two receding years.

Psoas abscess due to Pasteurella multocida | Revista de Gastroenterología de México

Are you a health professional able to prescribe or dispense drugs? In this case, the patient presented lumbar pain, high fever, and headache, which motivated the request for laboratory and radiological exams that demonstrated the presence of a psoas muscle abscess. Fever, hip pain and right iliac fossa tenderness are the classic symptoms; however, it usually has an insidious presentation with fever, abdominal pain, nausea, vomiting, anorexia and other vague manifestations.


Physical exam revealed the patient to be anxious, febrile, tachycardic, tachypneic, with edema and hyperemia of the lower limbs. In our case series report, it is seen that treatment delay developed to septic shock and death. The chest exam revealed clear lungs with normal heart sounds and her abdomen was soft with normal bowel sounds. Navia esquina Isabel Primera: Haaga JR, Boll D. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.

This is often treated with a image-guided percutaneous drainagetypically CT, due to the retroperitoneal location. Psoas muscle abscess after epidural analgesia.

[Psoas abscess as a differential diagnosis in emergency department].

It is a very uncommon entity. Past medical history was positive for chronic peripheral vascular disease, valvular cardiopathy, atrial fibrillation, and implantation of a biological mitral valve 11 years before admission.

Support Radiopaedia and see fewer ads. In the past, open drainage of the abscess through an iliac crest incision was often the treatment of choice.

For some authors surgical drainage is associated with shorter hospital stay Musculoskeletal infections vertebral osteomyelitis, lumbar spondylodiskitis, infectious sacroilitis and septic arthritisgenitourinary and vascular infections are also frequent.

Antibiotics are sometimes continued up to two weeks after complete drainage of the abscess. wbsceso

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December Pages ee78 Pages The case presented deals with a female diabetic patient showing fiver of unknown origin already for six months, with final diagnosis of psoas abscess. The abscess of the iliac psoas muscle uses to be the infrequent cause of unknown origin fever in healthy patients. Ruiz de la Hermosa aI.


How to cite this abscceso. Primary psoas abscess has a better prognosis than secondary and usually the major cause of death is delayed or inadequate therapy. Therefore, its functions include the flexion of the thigh over the hip, and minimal lateral rotation and abduction of the thigh. Pyogenic and tuberculous etiologies were differentiated analytically through leukocyte values 13, vs. Rev Infect Dis, ; 9: A female patient, 65 years old, with neuropathic pain in the lower limbs, difficult to control with systemic drugs.

Because of insidious clinical presentation, the diagnosis of psoas abscess is a challenge and a high index of suspicion is required. From Monday to Friday from 9 a. Edit article Share article View revision history.

A high clinical suspicion, a good clinical history and imaging studies can be useful in diagnosing the disease. Two patients initiated with septic shock. Leukocytosis, anemia, raised ESR and right laterality suggest pyogenic etiology.

[Psoas abscess as a differential diagnosis in emergency department].

We report an iliopsoas abscess due to this unusual microorganism that illustrates the pskas in diagnosis and management. Print Send to a friend Export reference Mendeley Statistics. Only another case has been reported before in the literature.