Actinomycosis of the Vertebrae (Actinomycotic Pott's Disease)

Simpson, Walter M.

doi:10.1001/archsurg.1927.01130180051003

Cited by 10 publications

(3 citation statements)

References 19 publications

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“…A number of authors suggest that psoas abscess arises as a result of hematogenous dissemination in a manner analogous to acute osteomyelitis [9,19,21,40,49,57]. Trauma with hematoma formation may predispose to abscess development, especially if a distant source of infection is present [5,20,27,40,49,57,62]. In this review, however, a history of trauma or second source of infection was uncommon.…”

Section: Discussionmentioning

confidence: 88%

Pyogenic psoas abscess: Worldwide variations in etiology

Ricci¹,

Rose²,

Meyer³

1986

World j. surg.

316

308

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Pyogenic abscess of the psoas muscle results from primary suppuration or direct extension of intraabdominal infection. The etiology varies with the country of origin. Our experience with 9 cases prompted a review of 367 cases from the world literature. A total of 286 primary abscesses occurred mainly in developing nations (200 cases), although 74 were reported from the United States. Younger patients predominated in developing nations (81.4% <20 years old), while only 47.8% from the United States were younger than 20 years. PureStaphylococcus aureus was commonly cultured (88.4%); simple incision and drainage cured 97.3% of patients with primary psoas abscess. Of 7 (2.5%) patients who died, 6 were from the United States; therapy was inadequate or delayed in all 7 patients. Ninety secondary abscesses appeared almost exclusively in reports from Europe, the United States, and Canada. Crohn's disease was the most common etiology followed by appendicitis and colon inflammation or cancer; mixed enteric infections predominated (55.7%). Although rare during the first decade, distribution was otherwise relatively even across all age groups. Simple drainage succeeded in only 49% of cases. Higher mortality accompanied secondary abscess (17 cases, 18.9%). The etiology of pyogenic psoas abscess guides the selection of proper medical and surgical therapy. While primary abscess is the likely etiology in developing nations and secondary abscess in Europe, either may occur in the United States. Early diagnosis and proper therapy are necessary to reduce mortality.

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Section: Discussionmentioning

confidence: 88%

Pyogenic psoas abscess: Worldwide variations in etiology

Ricci¹,

Rose²,

Meyer³

1986

World j. surg.

316

308

View full text Add to dashboard Cite

show abstract

“…In a review of 800 collected cases of actinomycosis in North America, Simpson & McIntosh (1927) found 2 cases of spinal actinomycosis with psoas abscess, in which the disease had spread from the appendix.…”

Section: Discussionmentioning

confidence: 99%

Actinomycosis in Recurrent Psoas Abscess

Coakham¹,

Ashby²

1972

Proceedings of the Royal Society of Medicine

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“…The patho-anatomical findings in actinomycosis of the spine have been described in detail by numerous authors (Parker 1923, Simpson & McIntosh 1927, Beitzke 1934, Meyer & Gale 1935, Cope 1951.…”

mentioning

confidence: 95%