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Ilio-psoas abscess in neonates: treatment by ultrasound-guided percutaneous drainage
Insights
Iliopsoas abscesses in newborns are rare. Ultrasound-guided percutaneous drainage, combined with antibiotics, offers a successful, minimally invasive treatment option for these infant cases.
Area of Science:
- Neonatal Medicine
- Pediatric Surgery
- Medical Imaging
Background:
- Iliopsoas abscesses are uncommon in neonates, with surgical drainage being the traditional treatment.
- Prompt diagnosis and effective management are crucial for favorable outcomes in affected infants.
Observation:
- Two neonates with iliopsoas abscesses were treated with ultrasound-guided percutaneous drainage and antibiotic therapy.
- Clinical symptoms improved within 24-48 hours post-drainage, and abscess resolution was confirmed by follow-up imaging.
Findings:
- Ultrasound-guided percutaneous drainage, alongside antibiotics, proved effective in treating neonatal iliopsoas abscesses.
- Imaging modalities are essential for accurate diagnosis of this condition in neonates.
Implications:
- Ultrasound-guided percutaneous drainage may be considered a primary treatment for neonatal iliopsoas abscesses when combined with antibiotics.
- This minimally invasive approach offers a potentially superior alternative to surgical drainage in select neonatal cases.
Abstract:
Ilio-psoas abscess is rare in neonates and is usually treated by surgical drainage. We report two cases of ilio-psoas abscess in 15- and 21-day-old infants successfully treated by US-guided percutaneous drainage as a supplement to antibiotic therapy. Clinical improvement was observed within 24-48 h of drainage and subsequent imaging demonstrated resolution of the abscess cavity. The analysis of these cases and of those previously reported indicates that imaging is essential for diagnosis. In neonates, US-guided percutaneous drainage may represent the first-choice treatment of this disease in association with antibiotic therapy.