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Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
Psoas abscess with septic arthritis of the hip: a case report
Nurşen Belet1, Büşra Akyurt, Arzu Karlı
1Departments of Pediatric Infectious Diseases, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey. nurbelet@yahoo.com.
Insights
Psoas abscess with septic arthritis of the hip is rare in infants. This case highlights the importance of considering this diagnosis in infants presenting with fever and hip pain.
Area of Science:
- Pediatric infectious diseases
- Pediatric orthopedics
- Medical imaging in pediatrics
Background:
- Psoas abscesses are uncommon in infants.
- Septic arthritis of the hip requires prompt diagnosis and treatment.
- The simultaneous occurrence of both conditions in an infant is particularly rare.
Observation:
- A 12-month-old infant presented with fever, left hip pain, and limping.
- Clinical examination suggested hip joint involvement.
- Magnetic resonance imaging (MRI) was crucial for diagnosis.
Findings:
- MRI confirmed a left psoas abscess.
- The abscess was associated with septic arthritis of the left hip.
- The findings indicate a complex infectious process.
Implications:
- Early recognition of psoas abscess and hip septic arthritis in infants is critical.
- Multimodality imaging, including MRI, aids in diagnosis.
- Prompt surgical and medical management is essential for favorable outcomes in infants.
Abstract:
Psoas abscess associated with septic arthritis of the hip is unusual in infants. A 12-month-old infant presented with the complaints of fever, left hip pain and limp. Magnetic resonance imaging revealed left psoas abscess accompanied by septic arthritis of the hip. In this report, we present a case of psoas abscess with hip septic arthritis in an infant, and we describe the clinical and radiological findings and treatment of this case.
