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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The patient also aabsceso of fever and malaise. Along with the upper iliac muscle, the psoas is responsible for the flexion of the thigh; inferiorly, all by itself, it makes the lateral rotation of the vertebral column, and with the iliac muscles it makes the flexion of the trunk.

Si continua navegando, consideramos que acepta su uso. With appropriate treatment the prognosis is generally good.

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

Lumbar pain, fever and rash were clinical features in three patients. You can change the settings or obtain more information by clicking here. Past medical history was positive for chronic peripheral vascular absecso, valvular cardiopathy, atrial fibrillation, and implantation of a biological mitral valve 11 years before admission.

Two patients were admitted to the Intensive Care Unit and ultimately died. Even microscopic muscle trauma may be the origin of the infection.

Secondary pyogenic abscesses constitute the most frequent PA group. The CT of the abdomen and pelvis revealed a right iliopsoas abscess affecting obturator Figure 1 and adductors muscles reaching the distal third of the thigh adjacent to her knee.


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Psoas abscess is a pus collection within the muscle compartment. Aniceto ArceCochabamba, Bolivia. It is defined as a collection of pus that begins and extends through the iliopsoas muscle and can reach up to the inguinal region. In our patient the presumed route of infection was a small skin trauma due to a scratch on her leg that caused a severe infection of the soft tissues with lymphangitis, celulitis and abscess formation at the last.

Received February 17 th; accepted April 6 th Aerobic and anaerobic bowel flora should also be covered when secondary psoas abscess is suspected. It can cause a variety of infectious syndromes, but it is extremely rare to see psoas abscess due to this organism.

The objective of this study was to report the case of a patient with pain in the right lower limb due to peripheral vascular insufficiency. Because of insidious clinical presentation, the diagnosis of psoas abscess is a avsceso and a high index of suspicion is required. The diagnosis can be challenging because of nonspecific symptoms. Secondary psoas muscle abscess is usually caused by enteric bacteria.

Multiple inguinal necrotic lymph nodes were also present Figure 2. We also emphasizes the importance of bacteriological confirmation of microorganism involved.

Psoas abscess due to Pasteurella multocida | Revista de Gastroenterología de México

Musculoskeletal infections vertebral osteomyelitis, lumbar spondylodiskitis, infectious sacroilitis and septic arthritisgenitourinary and vascular infections are also frequent. A retrospective review of patients diagnosed of PA in one hospital was conducted The unusualness of this case consists in the recidivism of deep retroperitoneal abscesses by Klebsiella and the abcseso presentation form of the current psoas abscess.


You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. 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.


Services on Demand Journal. The patient was discharged after abscrso few days, without complaints, and instructed to follow-up at the outpatient clinic. Physical exam revealed the patient to be anxious, febrile, tachycardic, tachypneic, with edema psas hyperemia of the lower limbs.

Only mild tenderness in the right flank was present. Navia esquina Isabel Primera: She had a painful and fluctuant area in her right groin and she also had physical signs of psoas inflammation. Each patient had computed tomography performed, which confirmed the diagnosis.

In our case series report, it is seen that treatment delay developed to septic shock and death.