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Updated: May 30, 2026

Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
Psoas abscess formation in suboptimally controlled diabetes mellitus
A J Lansdown1, A Downing, A W Roberts
1Department of Integrated Medicine, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK.
Abstract:
Psoas abscess formation is a rare entity for which diabetes mellitus remains a major predisposing factor. Diabetes has long been associated with a predisposition to unusual and more serious infections. Here we present two cases that demonstrate that chronically suboptimally controlled diabetes remains an important marker for the development of primary psoas abscess. It is important to include psoas abscess in the differential in such patients to ensure early diagnosis and treatment.
Insights
Chronically uncontrolled diabetes mellitus is a significant risk factor for developing primary psoas abscess. Early diagnosis and treatment are crucial for patients with diabetes presenting with concerning symptoms.
Area of Science:
- Infectious Diseases
- Endocrinology
- Surgical Pathology
Background:
- Psoas abscess is a rare condition.
- Diabetes mellitus is a known predisposing factor for infections.
- Suboptimal diabetes control increases infection risk.
Observation:
- Two cases of primary psoas abscess in patients with diabetes are presented.
- Both patients had chronically suboptimally controlled diabetes mellitus.
- Psoas abscess should be considered in the differential diagnosis for these patients.
Findings:
- Chronically suboptimally controlled diabetes is a key marker for primary psoas abscess development.
- Early recognition of psoas abscess is vital for timely intervention.
- Prompt diagnosis and treatment improve patient outcomes.
Implications:
- Highlights the importance of glycemic control in preventing serious infections.
- Emphasizes the need for heightened clinical suspicion for psoas abscess in diabetic patients.
- Informs clinical practice regarding differential diagnosis and management strategies.
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