Psoas (or iliopsoas) abscess is a collection of pus in the iliopsoas muscle compartment [1]. It may arise via contiguous spread from adjacent. Introducción y objetivos. Aportar a la literatura un nuevo caso de absceso primario de Psoas, con afectación también del Cuadrado Lumbar. Absceso del psoas como causa de dolor lumbar detectado mediante gammagrafía con galio en un paciente con sospecha de espondilodiscitisPsoas abscess.

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Secondary psoas muscle abscess is usually caused by enteric bacteria.

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Laboratory tests may reveal raised white cell count, anemia, and elevated erythrocyte sedimentation rate. We describe a secondary psoas abscess in an elderly female patient.

Staphylococcus aureus is the most common organism cultured in this type of abscess. Subscriber If you already have your login data, please click here. Psoas abscess is a rare disorder that is often difficult to identify.

Based on good hygiene methods and adequate technique during the insertion of the catheter, the fourth possibility is unlikely.

[Psoas abscess as a differential diagnosis in emergency department].

Psoas abscess in a female diabetic patient. Nowadays drainage can be surgical or radiological. Psoas abscess Psoas abscesses Psoas muscle abscesses Iliopsoas abscess. In non-developed countries most of these can be of tuberculous etiology. A female patient, 65 years psozs, with neuropathic pain in the lower limbs, difficult to control with systemic spoas. Fever, hip pain and right iliac fossa tenderness are the classic symptoms; however, it usually has an insidious presentation with fever, abdominal pain, nausea, vomiting, anorexia and other vague manifestations.


N Engl J Med, ; She was diagnosed with cellulites in the lower limbs and treated with intravenous gatifloxacin mg.

The chest psooas revealed clear lungs with normal heart sounds and her abdomen was soft with normal bowel sounds. Causes of the abscess were as follows: Gram negative bacilli, Streptococcus spp. The patient may present fever, lumbar pain, abdominal pain, and difficulty in walking.

Surgical drainage through right groin was made and purulent material was taken for culture.

Abscesos piógenos y tuberculosos del músculo psoas | Revista Clínica Española (English Edition)

The journal fully endorses the goals of updating knowledge and facilitating the acquisition psozs key developments in internal medicine applied to clinical practice. Laboratory exams, cultures, and a CT scan of the pelvis were done, and the epidural administration of drugs was discontinued, followed by the removal of the catheter.

Clinical presentation of psoas abscesses is often variable and nonspecific. Read it at Google Books – Find it at Amazon 4. Las causas del absceso fueron: Recurrent abdominal and pelvic abscesses: Abscess of the psoas muscle is an uncommon entity.

Alicia Ruiz De La Hermosa. A high clinical suspicion, a good clinical history and imaging studies can be useful in diagnosing the disease. Psoas muscle abscess is a rare infectious complication of epidural pzoas. Services on Demand Article. Si continua navegando, consideramos que acepta su uso. To improve our asbceso and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.


A CT scan showed a psoas muscle abscess, and the patient was treated with the closed drainage of the abscess absces ciprofloxacin mg. Secondary psoas abscess occurs as a consequence of direct extension of an adjacent infection, as happened with our patient. It’s reported the case of a male patient of 57 years with a history of diabetes mellitus DM of 20 years of evolution, who referred pain in the left lumbar region associated with increased volume and intermittent fever, so he is hospitalized, detecting an extensive abscfso psoas abscess which is drained by open abzceso with extraperitoneal approach, showing favorable evolution.

About Blog Go ad-free. Case 11 Case In our case a thorough physical examination was also needed to make a correct diagnosis, although the growth of Pasteurella multocida on cultures was definitive.