Rapidly Fatal Gas‐Forming Pyogenic Psoas Abscess Caused by<i>Klebsiella pneumoniae</i>

Liao, Pen Yuan; Chiang, Wen-Chu; Chen, Shey-Ying; Su, Chan Ping; Wang, Jin Town; Hsueh, Po-Ren

doi:10.1086/513581

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…In this study, E. coli was the most common gas-forming gram negative bacilli isolated (5 patients) (4). Apart from this series, all other reported cases of gas-forming psoas abscess are due to K. pneumoniae (2,3,5,6). Rapid catabolism along with impaired transport of end products from the site of inflammation leads to gas formation (16).…”

Section: Discussionmentioning

confidence: 68%

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Atypical presentation of pyogenic iliopsoas abscess in two cases

Ghosh

Narang

Goel

et al. 2018

DD&T

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Iliopsoas abscess (IPA) is an uncommon diagnosis in medical wards. Herein, we present two unusual cases of IPA. First patient was an elderly diabetic patient who had gas-forming bilateral IPA caused by Escherichia coli. This infection proved fatal and patient succumbed on third day of hospital admission. Second patient was a young boy who had right sided sacroilitis with IPA. Staphylococcus aureus was isolated from the pus culture and patient was successfully treated without any sequelae.

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Section: Discussionmentioning

confidence: 68%

“…Once IPA was considered always secondary to tuberculosis, but due to availability of effective treatment of tuberculosis, pyogenic IPA have become more common. Pyogenic gas-forming IPA is a rare entity with only few reported cases so far (2)(3)(4)(5)(6). Also, IPA which is secondary to sacroilitis is unusual (7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Atypical presentation of pyogenic iliopsoas abscess in two cases

Ghosh

Narang

Goel

et al. 2018

DD&T

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“…Emphysematous osteomyelitis is commonly located in vertebral bones, however, unusual locations such as tarsal bones are also reported [ 2 5 7 ]. Moreover, emphysematous infections of soft tissue and epidural space adjacent to bones have been described in previous reports [ 8 9 ]. Among several comorbidities that may predispose patients to the development of emphysematous osteomyelitis, diabetes mellitus is one of the most commonly associated diseases [ 2 ].…”

Section: Discussionmentioning

confidence: 97%

Rapidly Fatal Emphysematous Osteomyelitis with Multiple Septic Emboli and Liver Abscess Caused by Klebsiella pneumoniae

Kim

Jang

et al. 2018

Infect Chemother

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Emphysematous osteomyelitis, characterized by intraosseous gas, is a rare but potentially fatal condition that requires prompt diagnosis and aggressive therapy. Causative organisms are members of the bacterial family Enterobacteriaceae or anaerobes in most cases and significant comorbidities such as diabetes mellitus and malignancy, may predispose an individual to the development of emphysematous osteomyelitis. We report a case of extensive emphysematous osteomyelitis via hematogenous spread from Klebsiella pneumoniae liver abscess, complicated by gas-containing abscesses in adjacent soft tissues and epidural space, and multiple systemic septic emboli in a diabetic patient.

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“…It was also shown that a 78-year-old male patient who recovered from a liver abscess immediately developed bilateral gas-forming pyogenic psoas abscess caused by K. pneumoniae . [ 13 ] This occurrence of the rare causative organism in this condition can serve as a guide to us to be more vigilant with our choices of antibiotics in suspected or confirmed cases of psoas abscess. [ 14 ] In conclusion, psoas abscess is a condition that can mimic various pathologies related to the lower abdomen and, therefore, clinicians should always have a high index of suspicion to prevent a missed diagnosis of this condition which may prove to be fatal.…”

Section: Discussionmentioning

confidence: 99%

Literature review and case report of bilateral extensive psoas abscess: A rare case of spondylomyelitis with infection spread to Hunter’s canal with a rare causative microorganism

Nagaretnam¹,

Rampal²,

Abas³

et al. 2021

Jt Dis Relat Surg

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A 43-year-old male patient with underlying diabetes mellitus presented with lower abdominal pain radiating to left thigh. He was hemodynamically stable, but appeared lethargic. Both iliac fossae were tender, and crepitus appreciated along the anteromedial aspect of the left thigh. The patient initially responded well to treatment and was discharged; however, he was re-admitted several months later due to recurrent collection showing the growth of Klebsiella pneumoniae in the culture and succumbed to sepsis due to deep-seated intramuscular abscess and lung empyema. In conclusion, psoas abscess is a condition that can mimic various pathologies related to the lower abdomen and, therefore, clinicians should always have a high index of suspicion to prevent a missed diagnosis. Early detection may yield good outcomes, if managed with adequate surgical drainage and appropriate antibiotics.

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Rapidly Fatal Gas‐Forming Pyogenic Psoas Abscess Caused byKlebsiella pneumoniae

Cited by 4 publications

References 6 publications

Atypical presentation of pyogenic iliopsoas abscess in two cases

Atypical presentation of pyogenic iliopsoas abscess in two cases

Rapidly Fatal Emphysematous Osteomyelitis with Multiple Septic Emboli and Liver Abscess Caused by Klebsiella pneumoniae

Literature review and case report of bilateral extensive psoas abscess: A rare case of spondylomyelitis with infection spread to Hunter’s canal with a rare causative microorganism

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