Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Psoas Abscess”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 217 records · Page 12Linked to original sources
PubMed2003

[Primary psoas abscess: report of 5 new cases. Review of the literature].

OBJECTIVES: We report 5 new cases of primary psoas abscess in this review. We describe the various pathogen agents involved in the development of this disease, as well as the etiopathogenesis, which is explained by several theories, being the most commonly accepted hematogenous dissemination from a septic focus. In the same way, we refer the most interesting clinical data and the value of current diagnostic tests, among which are abdominal x-ray (KUB), ultrasound, isotope scan, and CT scan, being this latter the ideal diagnostic test for these processes. METHODS: Retrospective study from 1985 to 2000, including a total of 5 patients with an average age of 48.2 years. RESULTS: 4 of these 5 patients were males, and two of them had documented history of addiction to parenteral drugs and chronic alcoholism respectively. All patients presented with lumbar pain, four of them with fever, 2 functional impotence and 1 mass effect. Four of them had increased white blood cells count; ultrasound was diagnostic in one case only, and CT scan in all 5. Blood cultures were positive in three cases, being Staphylococcus Aureus the germ isolated from the pus in four cases. The four patients treated had a positive outcome without recurrence to date. CONCLUSIONS: The reappearance of primary abscesses in young population with history of alcoholism or addiction to parenteral drugs. CT scan is the diagnostic tests of choice. Percutaneous drainage has good results and is less aggressive therapeutic option for this disease.

Adult↗
PubMed2006

Urolithiasis and psoas abscess in a 2-year-old boy with type 1 glycogen storage disease.

We report on a pyogenic psoas abscess secondary to an impacted calcium oxalate ureteric stone in a 2-year-old boy with glycogen storage disease type 1 (GSD-1). The patient had a drainage of the abscess through a flank incision followed by percutaneous nephrostomy and open ureterolithotomy. Metabolic acidosis, hyperuricemia, hypocitraturia, and hypercalciuria appear to be significant in the pathogenesis of urolithiasis in patients with GSD-1. Regular ultrasonography of the abdomen along with optimal metabolic control may delay or prevent urolithiasis and its complications in GSD-1 patients.

Child, Preschool↗
PubMed1987

Psoas abscess in chronic dialysis patients.

We report 4 cases of nontuberculous psoas abscess occurring in patients with end stage renal disease. Fever and pain were the presenting symptoms but diagnosis was delayed. A computerized tomography scan of the abdomen was the critical test that led to the correct diagnosis. Therapy involved drainage and antibiotics, and was successful in 3 of the 4 patients.

Abscess↗
PubMed2002

Pyogenic psoas abscess: a rare complication after orthotopic heart transplantation.

We describe a 57-year-old man who developed a primary psoas abscess after treatment for acute allograft rejection, 5 years after orthotopic heart transplantation. The infective organism was methicillin-resistant Staphylococcus aureus (MRSA), and the patient underwent successful treatment with computed tomography-guided percutaneous drainage combined with teicoplanin and fusidic acid.

Anti-Bacterial Agents↗
PubMed1996

Pneumococcal psoas abscess: report of a case and review of the world literature.

A 39-year-old man was admitted to the hospital with fever and right hip pain. CT scan of the pelvis showed a psoas muscle abscess. Pus, which was surgically evacuated, grew Streptococcus pneumoniae. The patient fully recovered after 30 days of intravenous antibiotics. Review of the literature revealed only nine similar cases of primary pneumococcal psoas abscess. Three cases were complicated with pneumococcal meningitis. In four cases there was a history of trauma to the involved area. Pneumococcal psoas abscess is a rare entity that carries a good prognosis provided early surgical drainage is performed and parenteral antibiotic therapy is administered to the patient.

Adult↗
PubMed1992

[A psoas abscess in a patient with Crohn's disease].

We report a case of Crohn's disease diagnosed 13 years ago, complicated by a psoas abscess. The main symptoms were flexion deformity of the hip, pain and fever. Diagnosis was made by CT-scan. Surgical and CT-guided percutaneous drainage was ineffective and the abscess relapsed. Surgical resection of the affected bowel with abscess drainage, provided patient's healing.

Adult↗
PubMed1999

Pneumococcal psoas abscess.

A 47-year-old woman was admitted to our hospital because of severe low back pain. A computed tomography (CT) scan revealed a left sided psoas muscle abscess. On the first hospital day, US-guided drainage was performed. Streptococcus pneumoniae was isolated from the pus. Thereafter, the open drainage of the abscess and antibiotic treatment were given with subsequent clinical improvement. Only 10 cases of pneumococcal psoas abscess have been previously reported in the world literature.

Female↗
PubMed1995

Primary psoas abscess due to methicillin-resistant Staphylococcus aureus concurrent with septic arthritis of the hip joint.

We report an unusual case of a primary psoas abscess due to community acquired methicillin-resistant Staphylococcus aureus in an immunocompetent man. The course of the disease was indolent, expressed as septic arthritis of the hip joint. When the diagnosis was made, 3 months after symptoms began, the patient was treated by surgical evacuation of the abscess and appropriate antibiotics. Full recovery and return to his usual activity followed total hip replacement.

Arthritis, Infectious↗
PubMed1998

[Primitive psoas abscess in children; diagnostic difficulties and non surgical treatment: apropos of 2 cases].

From an analysis of two files of children carriers of primitive psoas abscess, the authors report the difficulties of diagnosis due to the rarity of this affection and the similarities of its symptomatology with ostearthritis of the hip which is a common pathology at the pediatric surgery unit of C.H.U. Yopougon (Republic of Côte d'Ivoire). A non surgical treatment made of antibiotherapy and traction fixed in the axis of the limb is proposed, since it helped the two patients who had presented an echographical stage II of psoas abcess to recover without after-effects.

Anti-Bacterial Agents↗
PubMed2003

Ilio-psoas abscess caused by methicillin-resistant Staphylococcus aureus (MRSA): a rare but potentially dangerous condition in neonates.

We report a case of methicillin-resistant Staphylococcus aureus ilio-psoas abscess (IPA) in a neonate. This case has clinical importance because this neonate had toxic shock syndrome-like exanthematous disease, known as NTED, before developing IPA. A high index of suspicion is required for IPA if a neonate presents with limb disuse and fever of unknown origin. Our case required surgical drainage, since ultrasound-guided percutaneous needle aspiration failed.

Drainage↗
PubMed1977

Fatal meningitis secondary to undetected bacterial psoas abscess. Report of three cases.

Three unusual cases of fatal meningitis secondary to undetected bacterial psoas abscess occurred at this institution over an 11-year period. All three patients had suffered chronic debilitating disorders before the abscess formation. The superimposed variable clinical presentations led to the initial diagnosis of a progressing cerebrovascular accident in one case, herniated nucleus pulposus at the L3-4 level in another, and osteomyelitis of the hip joint in the third. Analysis of these cases revealed that before the meningeal dissemination, all of the patients had shown evidence of intraabdominal pathology with positive psoas signs. Diagnostic and therapeutic guidelines are discussed.

Abscess↗
PubMed2000

[Tubercular psoas abscess].

HISTORY AND ADMISSION FINDINGS: A 43-year-old patient suffered from fatigue, nocturnal sweating, rigor and a weight loss of 5 kg over the last 4 weeks. A year before he had been anaemic and he was treated with omeprazole and iron. On admission physical examination was unremarkable, except for the known swelling in the right flank. His general condition was good. INVESTIGATIONS: Computed tomography showed an extensive abscess of the right psoas muscle with deplacement of the right ureter, causing hydronephrosis, and infiltration of the abdominal wall. Cytological and bacteriological tests of the abscess aspirate indicated tuberculosis. TREATMENT AND COURSE: The abscess markedly shrank within 2 months of starting antituberculosis treatment, which was continued for another 4 months. A catheter, which had been inserted into the right ureter to relieve hydronephrosis, was remowed without further complications. CONCLUSION: Because of an increase in the number of immigrants from countries with a high incidence of tuberculosis or HIV infection, extrapulmonary tuberculosis should be included in the differential diagnosis, such as in this case of a psoas muscle abscess. Despite the size of the abscess surgical intervention is rarely required because it will heal under appropriate antituberculosis treatment.

Adult↗
PubMedDate not supplied

Primary psoas abscess three years after ipsilateral nephrectomy.

We report an unusual case of primary, right psoas abscess caused by Proteus mirabilis which developed three years after ipsilateral nephrectomy. The diagnosis was established by computer tomography, recommended today as superior to other diagnostic methods of demonstration for the retroperitoneum.

Abscess↗