Primary Psoas Abscess. Report of Three Cases

Melissas, John; Romanos, John; Bree, Eelco de; Schoretsanitis, G; Askoxylakis, John; Tsiftsis, D

doi:10.1080/00015458.2002.11679276

Cited by 11 publications

(11 citation statements)

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“…A high index of suspicion is mandatory to enable early recognition of this rare clinical disease. The classical clinical trial consisting of fever, back pain and limp is present in only 30% of cases 9. This was quite typical in our case, which was further supported by the examination findings.…”

Section: Discussionsupporting

confidence: 89%

Bilateral psoas abscesses and vertebral osteomyelitis in a patient with sickle cell disease

Asnani

Williams²,

Cawich³

et al. 2010

Case Reports

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SummaryThe authors present a case of a patient with sickle-β thalassaemia (Sβ 0 Thal) who had bilateral psoas abscesses on a background of splenectomy in early childhood. The patient also turned out to have vertebral osteomyelitis and hydronephrosis on the side of the larger abscess. The only organism recovered from the patient was a Bacteroides species. The patient was managed with percutaneous drainage and intravenous antibiotics and made a full recovery. BACKGROUND

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Section: Discussionsupporting

confidence: 89%

Bilateral psoas abscesses and vertebral osteomyelitis in a patient with sickle cell disease

Asnani

Williams²,

Cawich³

et al. 2010

Case Reports

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“…[11] Mycobacterium tuberculosis as a cause of IPA is currently uncommon in the western world, but common in the developing countries. [3] The other causative organisms include Proteus,[12] Bacteroides,[13] Clostridia,[14] Klebsiella,[15] methicillin-resistant Staphylococcus aureus ,[16] and non-tuberculosis mycobacteria. [1718]…”

Section: Discussionmentioning

confidence: 99%

Clinical manifestations and prognostic factor of iliopsoas abscess

Asai

Ohkuni

Yamazaki

et al. 2013

J Global Infect Dis

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Introduction:Iliopsoas abscess (IPA) is a collection of pus in the iliopsoas compartment, which is considered rare in Japan. However, the number of patients with IPA has recently increased among the elderly or compromised hosts.Subjects and Methods:This retrospective study aims to examine the clinical pictures, pathological findings, and the prognostic factor of IPA. We analyzed all patients with IPA who were admitted to our hospital from April 2006 to July 2011. Patients’ characteristics, treatment, clinical outcome, radiological findings, bacteria isolated, and comorbidities were evaluated. The comorbidities were evaluated by the Charlson comorbidity index (CCI). We compared the survival and non-survival groups to assess the prognostic factors of IPA.Results:A total of 33 patients were enrolled in this study, which included 14 males and 19 females. The mean age of the patients was 71.5 years (range 32-92 years). The most common underlying disease was spinal disease (16 of 33, 48.5%). Twenty-nine patients (87.9%) were cured and four patients (12.1%) died. While 12 patients (36.4%) were initially treated conservatively with antibiotics alone, percutaneous drainage was performed initially in 19 patients (57.6%). Two patients (6%) directly underwent exploratory surgery and open drainage. In terms of patients’ characteristics, there were no significant differences in either group. The score of CCI in non-survivors was higher than that in survivors (1.38 vs. 5.5, P < 0.001).Conclusions:The epidemiology of IPA is quite different from what it used to be. CCI appears to be useful in evaluating the patients’ prognosis with IPA.

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“…8 Mycobacterium tuberculosis as a cause of iliopsoas abscess is currently uncommon in the western world, but common in the developing countries. The other causative organisms include proteus, 9 Pasteurella multocida, 14 bacteroides, 15 …”

Section: Microbiologymentioning

confidence: 99%