Neonatal ilio-psoas abscess: report of two cases

Area of Science:

• Neonatal Medicine
• Pediatric Surgery
• Infectious Diseases

Background:

• Ilio-psoas abscess (IPA) is an uncommon condition in pediatric patients, particularly rare in neonates.
• This study focuses on two consecutive cases of right-sided IPA in male neonates.

Observation:

• The first neonate had risk factors including premature rupture of membranes and meconium-stained amniotic fluid.
• The second neonate had no apparent high-risk factors.
• Diagnosis in both cases was confirmed using ultrasonography.

Findings:

• Both neonates underwent extraperitoneal surgical drainage and received systemic antibiotics.
• The first neonate experienced mortality due to delayed presentation and uncontrolled sepsis.
• The second neonate survived following early presentation, prompt surgical intervention, and aggressive antibiotic therapy.

Implications:

• This case series highlights the critical importance of early recognition and intervention for neonatal IPA.
• Prompt diagnosis via ultrasonography and timely surgical drainage are vital for improving survival rates.
• Effective management strategies, including appropriate antibiotic selection, are essential for combating sepsis in neonatal IPA.