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Primary Salmonella iliopsoas abscess: a case report.
1Department of Medicine, China Medical College Hospital, Taichung, Taiwan, ROC.
Summary
Salmonella group B rarely causes iliopsoas abscesses, but this case highlights its potential. Prompt diagnosis and treatment with percutaneous drainage and ciprofloxacin were effective.
Area of Science:
- Infectious Diseases
- Medical Microbiology
Background:
- Primary iliopsoas abscesses typically result from hematogenous spread or lymphatic seeding.
- Staphylococcus aureus is the most common pathogen, while Salmonella species are infrequently reported.
Observation:
- A 63-year-old woman presented with prolonged fever, left lower abdominal tenderness, and hip flexion.
- Computed tomography revealed an iliac fossa abscess.
Findings:
- Pus culture from the abscess identified Salmonella group B.
- Percutaneous catheter drainage and ciprofloxacin treatment led to a successful outcome.
- No predisposing conditions were identified in the patient.
Implications:
- Salmonella infection should be considered in the differential diagnosis of iliopsoas abscesses, particularly in regions with high salmonellosis prevalence.
- This case underscores the importance of considering atypical pathogens in iliopsoas abscess etiology.