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Primary pyogenic psoas abscess in children

D Kadambari1, S Jagdish

  • 1Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

Pediatric Surgery International
|August 24, 2000
PubMed

Insights

Primary pyogenic psoas abscess is a common condition often missed, but ultrasonography (US) aids diagnosis. Prompt treatment with drainage and antibiotics leads to full recovery in pediatric patients.

Area of Science:

  • Pediatric Infectious Diseases
  • Musculoskeletal Infections
  • Diagnostic Imaging

Background:

  • Primary pyogenic psoas abscess is frequently overlooked, often misdiagnosed due to its association with tuberculous spondylitis.
  • This condition is common, especially in tropical regions, and presents diagnostic challenges.

Purpose of the Study:

  • To highlight the clinical features, diagnostic methods, and treatment outcomes of primary pyogenic psoas abscess in children.
  • To emphasize the utility of ultrasonography (US) in diagnosing psoas abscesses.

Main Methods:

  • A retrospective review of 55 pediatric cases (0-12 years) diagnosed with primary pyogenic psoas abscess.
  • Clinical presentation, diagnostic imaging (primarily US), treatment modalities, and patient outcomes were analyzed.

Main Results:

  • Pain and hip flexion were the most common presenting symptoms in pediatric patients.
  • Ultrasonography (US) proved diagnostic in all cases where performed.
  • Treatment involving extraperitoneal drainage, antibiotics (targeting Staphylococcus aureus), and skin traction resulted in complete resolution for most patients.

Conclusions:

  • Primary pyogenic psoas abscess is a distinct clinical entity in children, often arising de novo.
  • Early diagnosis via ultrasonography and prompt surgical and antibiotic management lead to favorable outcomes.

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