Clinical presentation, etiology, management, and outcomes of iliopsoas abscess from a tertiary care center in South India

Rodrigues, Joanne; Iyyadurai, Ramya; Sathyendra, Sowmya; Jagannati, Manjeera; Abhilash, Kundavaram Paul Prabhakar; Rajan, Sudha Jasmine

doi:10.4103/jfmpc.jfmpc_19_17

Cited by 11 publications

(12 citation statements)

References 10 publications

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“…5 An Indian study showed Mycobacterium tuberculosis as the commonest cause of IPA. 6 Pathogens causing primary IPA include S. aureus, coagulase negative staphylococci (CoNS), M. tuberculosis and occasionally E. coli. In secondary IPA, in addition to these, Klebsiella spp., Enterococcus spp., Proteus spp., Bacteroides spp., Peptostreptococcus spp., Clostridium spp., and Salmonella Enteritidis have been reported.…”

Section: Discussionmentioning

confidence: 99%

Psoas abscess caused by probable extended spectrum beta lactamase (ESBL) producing <em>Escherichia coli</em>: A Case Report

Kumara

Somasiri

Mendis

et al. 2021

Sri Lankan J Infec Dis

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Section: Discussionmentioning

confidence: 99%

Psoas abscess caused by probable extended spectrum beta lactamase (ESBL) producing <em>Escherichia coli</em>: A Case Report

Kumara

Somasiri

Mendis

et al. 2021

Sri Lankan J Infec Dis

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“…An abscess in this compartment is known as an iliopsoas abscess. This usually occurs via haematogenous spread [ 7 ]. Iliopsoas abscess is a rare condition in the western world, but it is more prevalent in the south Asian region.…”

Section: Introductionmentioning

confidence: 99%

A rare case of Escherichia coli and Rhizopus sinusitis complicated with pneumocephalus, E. coli psoas abscess and sepsis

Rathnayake

Basith

Tharmini

et al. 2021

Access Microbiology

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Sinusitis is a common ailment a clinician comes across in their day-to-day practice. Simple as it may sound, it may become a very debilitating condition depending on the comorbidities of the patient and the organism involved. Rhizopus and Escherichia coli are less common organisms to affect the sinuses, but they are more common in immunocompromised patients such as patients with uncontrolled diabetes. Rhizopus can be a very debilitating infection as it erodes into the bone and blood vessels resulting in tissue necrosis. However, coinfection of both of these organisms is a very rare occurrence. Psoas abscess is also a less common infection in the immunocompetent patients but it is more common among the immunocompromised patients. It is extremely rare for both of these organisms to cause sinusitis in one patient, and for E. coli to simultaneously infect two different sites in the same patient. We report a case where a diabetic patient who had E. coli and Rhizopus coinfected sinusitis with simultaneous E. coli psoas abscess was successfully managed. The Rhizopus was treated with liposomal amphotericin B for 16 weeks while E. coli was treated with IV Meropenum. Furthermore, pneumocephalus is a condition that usually occurs following head trauma but the patient we are reporting developed pneumocephalus following Rhizopus sinusitis, which was treated with high-flow oxygen.

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“…Iliopsoas abscess is a myositis involving the iliopsoas compartment which can be primary or secondary. Primary psoas abscess is seen due to lymphatic or vascular spread and is more common in immunocompromised individuals while secondary abscess is seen due to contiguous spread [ 1 ]. Primary infection is seen in developing countries, while secondary infection is most often seen in developed countries [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Imaging modalities used for diagnosis include magnetic resonance imaging (MRI), Computed tomography (CT) scan and ultrasonography (USG). Patients can be started on empirical anti-tubercular treatment when the culture does not yield anything [ 1 ]. An active intervention in the form of percutaneous drainage (PCD) or rarely surgical drainage may be required [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

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A Rare Case of Psoas Abscess Secondary to Mucinous Adenocarcinoma of the Appendix: A Case Report

Prabhu¹,

Koshire²,

Khandelwal³

2021

JOCR

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Introduction: Iliacus and psoas muscles are located in an extraperitoneal location forming the iliopsoas compartment. Iliopsoas abscess is a myositis involving this compartment. Pseudomyxoma peritonei is characterized by an abundant extracellular collection of mucin in the peritoneal cavity. When this collection is retroperitoneal, it is termed as pseudomyxoma extraperitonei. We present to you the case of a 52-year-old female with psoas abscess secondary to mucinous adenocarcinoma of the appendix, which was later diagnosed as pseudomyxoma extraperitonei. Case Presentation: A 52-year-old female presented with pain in the right flank with discharging sinuses since one year. She had previously undergone two surgeries in the past 1 year for drainage of the abscess and had taken first line anti-tubercular treatment for around 6 months. She was managed in our institute by an open drainage of the abscess. The culture reports showed an infection with E. coli. The histopathology sections showed abundant pools of extracellular mucin with strips of columnar epithelium which indicated the pathology to be a mucinous adenocarcinoma. A contrast-enhanced computed tomography scan of the abdomen and pelvis showed a ruptured appendix mucocele and a collection in the right psoas muscle showing fistulous communication with the cecum and extending to the suture site in the right flank. Anti-tubercular treatment was stopped and an oncology opinion was taken. The patient was managed with a palliative ileostomy. Conclusion: It is important to keep in mind diagnostic possibilities other than tuberculosis of the spine when managing a patient with an iliopsoas abscess. These include pathologies of the gastrointestinal and genitourinary tract, which need to be diagnosed and managed early. Keywords: Psoas abscess, pseudomyxoma peritonei, pseudomyxoma extraperitonei, mucocele of appendix, mucinous adenocarcinoma.

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Clinical presentation, etiology, management, and outcomes of iliopsoas abscess from a tertiary care center in South India

Cited by 11 publications

References 10 publications

Psoas abscess caused by probable extended spectrum beta lactamase (ESBL) producing <em>Escherichia coli</em>: A Case Report

Psoas abscess caused by probable extended spectrum beta lactamase (ESBL) producing <em>Escherichia coli</em>: A Case Report

A rare case of Escherichia coli and Rhizopus sinusitis complicated with pneumocephalus, E. coli psoas abscess and sepsis

A Rare Case of Psoas Abscess Secondary to Mucinous Adenocarcinoma of the Appendix: A Case Report

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