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PubMed2004

Bilateral psoas abscesses in an HIV-positive patient.

Patients with HIV can often present a diagnostic challenge and may have atypical presentations of more common diseases. This case demonstrates such a scenario; we describe a 35-year-old man with a recent diagnosis of HIV infection complaining of backache, anorexia and weight loss. On investigation he was found to have bilateral tuberculous psoas abscesses. A review of the literature shows that this is a rare presentation of an already unusual problem, with subtle signs requiring a high index of clinical suspicion. However, with HIV-positive patients more likely to present with extrapulmonary tuberculosis, there is need for increased awareness of this diagnosis.

AIDS-Related Opportunistic Infections↗
PubMedDate not supplied

Xanthogranulomatous pyelonephritis complicated by psoas abscess.

Xanthogranulomatous pyelonephritis is an unusual variant of chronic pyelonephritis. Xanthogranulomatous pyelonephritis is associated with urinary calculi, urinary tract obstruction, and invasion of the renal parenchyma. Pathologically, xanthogranulomatous pyelonephritis consists of a yellow (xantho) colored infiltrate in renal tissue with granulomatous formation. Xanthogranulomatous pyelonephritis may be distinguished from chronic pyelonephritis by renal size. Typically, the kidneys are enlarged in xanthogranulomatous pyelonephritis and are small/shrunken with chronic pyelonephritis. The diagnosis of xanthogranulomatous pyelonephritis is made by abdominal computed tomography scanning showing the characteristic "bear paw" sign, or findings typical for xanthogranulomatous pyelonephritis, eg, multiple hypo dense areas with ring-enhancing lesions. The definitive treatment for xanthogranulomatous pyelonephritis is antimicrobial therapy and nephrectomy. We present a case of xanthogranulomatous pyelonephritis complicated by psoas abscess.

Aged↗
PubMed2006

Primary aortoduodenal fistula without abdominal aortic aneurysm in association with psoas abscess.

Primary aortoenteric fistula (PAEF) is a communication between the aorta and the enteric tract without any previous vascular intervention, e.g., aortic grafting. Although rare, PAEF is a potentially lethal condition that requires a high index of suspicion and prompt surgical intervention. Most of the reported cases involve an abdominal aortic aneurysm. However, in this report, we describe a rare case of a primary aortoduodenal fistula in a nonaneurysmal aorta in association with a psoas abscess, which was treated successfully. At 2-year follow-up, the patient is alive without episodes of bleeding or fever.

Aged↗
PubMedDate not supplied

[Psoas abscess as cause of lumbar spine pain detected by scintigraphy with gallium in a patient with suspicion of spondylodiscitis].

A 56 year old man with fever and lumbar pain who underwent an abdominal CT scan that showed lumbar arthrosic changes, although it was not possible to rule out infectious disease in L5/S1. Bone scintigraphy was requested. It showed heterogeneous hyperuptake that did not make it possible to exclude a spondylodiscitis in this site. Scintigraphy with 67Ga-citrate excluded infectious diseases in the lumbar spine column. However, a pathological uptake was observed in the left iliac fossa suggestive of psoas abscess, which was confirmed by ultrasonography, isolating streptococcus viridans.

Citrates↗
PubMed2004

Xanthogranulamatous pyelonephritis with psoas abscess: 2 cases and review of the literature.

Xanthogranulomatous pyelonephritis (XGP) is a rare form of chronic pyelonephritis. With the review of the literature, we reported two cases of XPN with psoas muscle abscesses caused by Staphylococci aereus in one of the patient and Serratia mascerentes in the other. Both of the patients had renal calculus. We performed nephrectomy with psoas abscess drainage and started appropriate antibiotics, but one of the patients died of septic shock. Other patient is free of symptoms at the end of 5 years follow-up.

Adolescent↗
PubMed1982

Psoas abscess in Crohn's disease.

In a series of 161 patients treated surgically for Crohn's disease, 7 patients were seen with a psoas abscess as a complication of the bowel disease. Drainage only was not sufficient to check the rapid downhill course in these patients. Resection of the underlying bowel disease was performed in all patients. There was one death from pulmonary embolism and 3 patients required drainage on more than one occasion.

Abscess↗
PubMed2007

Psoas abscess: An unusual manifestation of Q fever.

Q fever may lead to serious complications in chronically infected patients. We report two cases of psoas abscess due to Coxiella burnetii associated with lumbar osteomyelitis secondary to an aortic aneurysmal infection. Diagnosis was based on serology, and PCR detected C. burnetii DNA in an abscess sample.

Journal Article↗
PubMed1989

Delayed diagnosis of a primary psoas abscess mimicking septic arthritis of the hip.

A 5-year-old boy presented with a limp, fever, and right hip pain of 72 hours' duration. An intensive workup of right hip pain synovitis failed to diagnose any local pathology. Delayed diagnosis of psoas abscess was made on the 12th day of hospitalization. A rapid recovery with no further complications followed surgical evacuation of the abscess.

Abscess↗
PubMed1985

Staphylococcal meningitis: a complication of psoas abscess.

A previously healthy 59-year-old woman presented with fever, neck stiffness, and localized back tenderness. Spinal fluid and blood cultures grew Staphylococcus aureus. A diagnosis of pyogenic meningitis was made, but further investigation revealed that the meningitis arose from a clinically occult psoas abscess.

Abscess↗
PubMed1984

Percutaneous drainage of a psoas abscess in a young child.

Percutaneous drainage of abdominal and retroperitoneal abscesses has become a widely practiced alternative to surgery in selected patients. Although such techniques and results have been widely reported in adults, these series do not include reports of percutaneous drainage of a psoas abscess in a young child to emphasize that interventional radiologic techniques can be effective even in very young children.

Abdomen↗
PubMed1985

Hemophilus aphrophilus meningitis followed by vertebral osteomyelitis and suppurative psoas abscess.

Hemophilus aphrophilus is an uncommon pathogen in man. It has rarely been reported as a cause of meningitis, exclusively in boys three years or younger. Osteomyelitis due to this organism is also rare. H. aphrophilus was responsible for meningitis, probable thoracic empyema, and ultimately vertebral osteomyelitis and suppurative psoas abscess formation in a woman following metrizamide myelography. The patient responded well to antibiotic treatment and surgical drainage. The organism was sensitive not only to chloramphenicol but also to newer cephalosporin antibiotics.

Abscess↗